| Scope | Primarily focused on the digital versions of individual patient's medical records and clinical data within a single healthcare facility or practice. | Comprehensive digital records that include a patient's medical history, treatment, diagnoses, medications, allergies, and other health-related information, often spanning multiple healthcare providers and facilities. |
| Data Accessibility | Typically limited to the healthcare facility or practice where the EMR system is implemented, with restricted access outside of that specific organization. | Designed to be accessible by authorized healthcare providers across different organizations and settings, facilitating data sharing and interoperability. |
| Interoperability | May have limited interoperability with other healthcare systems or facilities, making it challenging to share patient information across different providers or regions. | Promotes interoperability, allowing for the exchange of patient data between various healthcare providers, hospitals, and healthcare entities. |
| Patient Involvement | May have limited patient engagement features, with a primary focus on clinical and administrative tasks within the healthcare facility. | Emphasizes patient involvement, often including patient portals that allow individuals to access their own health information, schedule appointments, and communicate with healthcare providers. |
| Data Collection | Focused on clinical data collection, including medical history, laboratory results, prescriptions, treatment plans, and billing information within a single facility. | Gathers a broader range of health-related data, including patient demographics, medical history, medications, allergies, immunization records, and more, from multiple sources and providers. |
| Clinical Decision Support | May provide basic clinical decision support tools to assist healthcare providers within the facility, such as drug interaction alerts or reminders for preventive care. | Often includes advanced clinical decision support systems that offer real-time alerts, guidelines, and evidence-based recommendations to improve patient care and safety. |
| Continuity of Care | May support continuity of care within the healthcare facility but may face challenges in coordinating care when patients seek treatment outside of that facility. | Designed to enhance continuity of care by enabling healthcare providers to access complete patient records, even when the patient receives care from multiple providers and locations. |
| Privacy and Security | Requires robust privacy and security measures to protect patient data within the specific healthcare facility or practice. | Requires strong privacy and security measures to safeguard patient information when shared across different healthcare organizations and systems. |
| Regulatory Compliance | Must comply with relevant healthcare regulations and standards, but the scope of compliance is often limited to the facility's specific requirements. | Must adhere to comprehensive healthcare regulations, including standards for data exchange, privacy (e.g., HIPAA), and interoperability (e.g., HL7). |
| Data Portability | May lack standardized data formats, making it challenging to export patient data in a universally compatible manner. | Supports standardized data formats and APIs, facilitating data portability and the ability to transfer patient records between different EHR systems. |
