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Overview : Health Informatics

We Past Present Future Others










Live in the PRESENT










What is Electronic Medical Record?

The electronic record of health-related information on an individual that is created, gathered, managed, and consulted by licensed clinicians & staff from a single organisation who are involved in the individual’s health and care.

Electronic Medical Records (EMR)

Advantages

•         Faster diagnosis & treatment
•         Information easily available & does not get lost easily

Disadvantage

•         Able to share only within the same hospital across different departments
•         Financial difficulties- buying the system & training workers





Electronic Medical Records Exchange (EMRX)

Advantages

•         Able to share information between different hospitals

Disadvantages

•         A document- level exchange, with no standardised or structured data.
Ø       sharing data beyond documents is difficult.  E.g. x-ray images



National Electronic Health Records (NEHR)

•         Aggregate electronic record of health-related information on an individual that is created and gathered cumulatively across more than one healthcare organisation and is managed and consulted by licensed clinicians and staff involved in the individual’s health and care.

•         Achieve the vision: “one Singaporean, one health record”


Here are specific examples of hospitals and healthcare groups that are currently using the above mentioned systems.

  1. NUH developed a doctor-centred, patient-based Computerised Patient Support System (CPSS) to enable an integrated view of patient data from multiple source systems such as X-rays,  laboratory results, surgical operating notes, discharge summaries, clinical results and reports. CPSS has resulted in increased effectiveness and collaborative care amongst multi-disciplinary healthcare teams leading to safer and higher quality of patient care. CPSS won the Asian Hospital Management Awards 2003, IT category, in Asia Pacific.

  1. SingHealth also combined textual data from their Electronic Medical Records (EMR) system and the digitised images from the Image Management System (IMS), to deliver significant benefits and value to patients and caregivers.  They designed a wireless motorised mobile triple LCD X-ray light box to allow doctors to bring digital images and EMR to patient's bedside for more effective and personal consultation. For this, SingHealth was awarded the “Intelligent Enterprise Asia Award 2004”.



  1. The National Healthcare Group (NHG) of hospitals in Singapore has awarded a contract to local real-time systems solutions provider, TCM RFiD to help staff keep track of pharmaceuticals and ensure proper administration of drugs to patients. The Intelligent Medicine Dispensing System (i-MDS), the first of its kind in Asia, will be operational by the second quarter of this year. The system runs on customized software developed by TCM RFiD, and will be deployed initially on more than 300 Motorola MC50 and MC70 enterprise digital assistants (EDA) at two NHG hospitals. Hospital staff can use the EDA to scan both RFID-enabled and bar-coded wristbands that are unique to each patient. They can double-check prescription dosages, pull up patient records, or enter new information such as changes in prescriptions or patients’ allergies which are transmitted in real-time to a central database accessible only to qualified healthcare staff.