2010 April Report of the Auditor General of Canada

Electronic Health Records in Canada—An Overview of Federal and Provincial Audit Reports

Exhibit 1—An example of what an EHR might look like

The image shows an EHR for a fictional patient. The EHR is divided into the following categories:

Help—Includes a field for logging out of the EHR.

Patient Record—Includes a summary of lab results, diagnostic images, and notes and comments.

Patient Details—Includes the patient’s first and last name, sex, date of birth, next of kin, phone number and address.

Alerts—Lists notifications such as a patient’s allergies or tests that are needed, e.g., pap smear due.

Diagnosis—Lists the patient’s medical history, including the medical condition, date, and status.

GP Details—Provides the contact information for the patient’s GP (doctor).

Other Healthcare Providers—Shows the name of any specialists that may have treated the patient. It also includes the date the patient last saw the specialist and whether the specialist has access to the EHR.

Medications—Gives a detailed list of what medications the patient takes, including the dosage and the dates prescriptions were refilled.

Encounter History—Provides a brief medical history.

Immunizations—Shows the immunizations the patient has received and the dates they were given.

Diabetic Indices—Provides the type, value, and most recent treatments.