Course Overview & Introduction

Welcome to Introduction to EHR. Review course requirements, assignments, and what to expect across the semester.

By the end of this lesson you can

  • Describe what an electronic health record is and what it replaced
  • Name the three zones of a medical practice and the work each does
  • Explain how this course is assessed and what EHR Go is used for
  • Describe the role an EHR specialist actually performs

Video

Watch the lesson video, then complete the reading and challenge.

Presentation Slides

Review the slides below, then complete the reading and challenge.

The Digital Clinic Blueprint — An Operational Guide to EHR Ecosystems and Clinical Patient Workflows
1 / 7

Lesson Notes

Read through the key concepts before you try the challenge.

What you are learning to do

On the job

You are beginning the Introduction to EHR course.

A patient arrives at a clinic. Over the next hour, roughly a dozen people touch information about that visit — the front desk, the medical assistant, the provider, the coder, the biller, the payer. Every one of them works from the same record. Your job is to make sure that record is accurate, complete, findable, and lawful.

Your task: Understand the whole system before learning any one part of it.

An electronic health record is the digital version of a patient's chart, but calling it that undersells what changed. A paper chart lived in one place and one person could use it at a time. An EHR is a database that many people use simultaneously, that enforces rules about who may see what, that records every access, and that feeds billing, quality reporting, and public health at the same time as clinical care.

That is why EHR work sits between clinical and administrative staff. You will not diagnose or treat. You will make sure that what was done is recorded correctly, coded correctly, protected correctly, and billed correctly — and those four things determine whether a practice can keep its doors open.

Key terms

EHR
Electronic Health Record — the comprehensive digital record of a patient's health across providers and encounters.
EMR
Electronic Medical Record — historically the record within one practice. The terms are now used almost interchangeably, but EHR implies sharing across organizations.
PHI
Protected Health Information — health information linked to an identifiable person. Governed by HIPAA.
ePHI
PHI in electronic form, which is what the HIPAA Security Rule specifically governs.
Interoperability
The ability of different systems to exchange information and use what they receive.
Audit trail
The automatic log of who accessed a record, when, and what they did. It is why unauthorized access is detectable.
ZoneWho works thereWhat they put into the record
Front officeReception, scheduling, registrationDemographics, insurance, eligibility, consent
Middle officeMedical assistants, nurses, providersVital signs, history, examination, orders, results, notes
Back officeCoders, billers, health information managementCodes, claims, payments, corrections, release of information
The three zones of a practice, and what each contributes to the record
This course uses EHR Go, a simulated EHR environment. Nothing you enter there concerns a real person, which is exactly why it is safe to practice in. Everything you learn about privacy and accuracy still applies — the habits you build in a simulator are the habits you will carry to a live system.

What This Course Covers

This course introduces you to Electronic Health Records — the digital systems that power modern healthcare. Over nine weeks you will learn patient workflow, the healthcare revenue cycle, medical coding, legal compliance, and hands-on EHR simulation using EHR Go.

  • Patient registration and scheduling workflows
  • Healthcare revenue cycle from check-in to payment
  • ICD, CPT, and HCPCS coding systems
  • Legal and regulatory requirements for EHR use
  • Hands-on simulation with EHR Go

Grading Breakdown

  • Midterm Exam — 25%
  • Final Exam — 25%
  • Participation — 25%
  • Homework & Lab Assignments — 25%
Thursday lab sessions in EHR Go count toward your Homework & Lab Assignments grade. Come prepared and log in before class starts.

Challenge

Apply what you've learned in this lesson.

Check your understanding

Which component accounts for 25% of your final grade?

Finished this lesson?

Progress is saved in this browser only. It is not a grade — official progress lives in Brightspace.