Electronic Health Record And Applications

I.     Course Prefix/Number: HIT 194

       Course Name: Electronic Health Record And Applications

       Credits: 3 (3 lecture; 0 lab)

II.    Prerequisite

Recommended: Hands-on computer experience using software in Windows, i.e., Word, Excel, Access and PowerPoint.

III.   Course (Catalog) Description

Course covers health information systems used in health care delivery systems including terminology and essential concepts of health information systems. An overview of varied automated administrative and financial systems is given. Course covers structure of electronic health records (EHRs). Content includes overview of health care industry’s transitioning to electronic health record systems, components of EHRs, technologies used for input into EHRs, and privacy and security issues affecting access to and use of patient information. Student practice in application of software common to healthcare setting.

IV.   Learning Objectives

  • Identify the multiple uses of electronic health records in the healthcare setting
  • Perform practical and essential tasks utilizing the electronic health record as a clinical information system to document and support patient care
  • Demonstrate the use of information systems to complete technical and management tasks in health information operations
  • Explain and interpret the importance and the role of national health data policy organizations which govern health data standards and the national health information exchange
  • Employ data base software to manage, store, manipulate, and transmit health data
  • Perform health data operations utilizing clinical vocabularies, health data sets, and data dictionaries
  • Employ health data privacy and security practices that protect health data and meet compliance standards
  • Apply concepts of health informatics to health data for clinical, organizational, and research purposes
  • Describe the use and selection process of hardware products for the EHR
  • Describe the use and selection process of software products for the EHR

V.    Academic Integrity and Student Conduct

Students and employees at Oakton Community College are required to demonstrate academic integrity and follow Oakton's Code of Academic Conduct. This code prohibits:

• cheating,
• plagiarism (turning in work not written by you, or lacking proper citation),
• falsification and fabrication (lying or distorting the truth),
• helping others to cheat,
• unauthorized changes on official documents,
• pretending to be someone else or having someone else pretend to be you,
• making or accepting bribes, special favors, or threats, and
• any other behavior that violates academic integrity.

There are serious consequences to violations of the academic integrity policy. Oakton's policies and procedures provide students a fair hearing if a complaint is made against you. If you are found to have violated the policy, the minimum penalty is failure on the assignment and, a disciplinary record will be established and kept on file in the office of the Vice President for Student Affairs for a period of 3 years.

Please review the Code of Academic Conduct and the Code of Student Conduct, both located online at

VI.   Sequence of Topics

  1. History of Computers in Healthcare
    1. Specialized Software
      1. Release of Information (ROI)
      2. Abstracting
      3. Chart Analysis
      4. Networking
      5. Technology’s Effect on the HIM Profession
  2. Impact of Computers
    1. Patient Care
    2. Finance and Reimbursement
    3. Public Health and Syndromic surveillance
    4. Research and Education
  3. Hardware and Software
    1. Input Devices
    2. Hardware in the Computer
    3. Output Devices
  4. Communication and Internet Technologies
    1. Networks
    2. Interfaces
    3. Internet Connections
    4. Types of Networks
    5. Internet Technologies
  5. Software Applications
    1. Development of Software
  6. Scheduling Software
  7. E-Mail Software
  8. Standards and Protocols
    1. Transmission Control Protocol/Internet Protocol
    2. Electronic Data Interchange
    3. Health Level 7
  9. Knowledge Base CDSS
  10. Administrative Information Systems – Functionality and Impact on HIM
    1. Financial Information System
    2. Human Resources Information System
    3. Decision Support System
    4. Master Patient Index
    5. Patient Registration (Admission, Discharge, Transfer)
    6. Scheduling System
    7. Practice Management
  11. Clinical Information Systems
    1. Radiology
    2. Laboratory
    3. Nursing
    4. Pharmacy
    5. Patient Monitoring
  12. Data Quality
    1. Importance of Data Quality and Data Entry
    2. Data Integrity, Reliability and Uniformity
    3. Data Analysis
  13. Databases
    1. Data Definitions
    2. Database Management
    3. Data Modeling
    4. Data Warehousing and Data Repository
    5. Data Mining
  14. Computers in HIM
    1. Release of Information
    2. Encoder/Grouper
    3. Cancer and Other Registries
    4. Chart Deficiency
    5. Dictation Systems
    6. Transcription
    7. Data Quality Indicators
  15. Electronic Health Record (EHR)
    1. Implementation Status
    2. Components
      1. Order Communication/Results Retrieval
      2. Electronic Documentation
      3. Electronic Medication Administration
      4. Personal Health Record
      5. Computerized Physician/Provider Order Entry
      6. Clinical Decision Making
      7. Patient Care Charting
    3. Benefits and Barriers of the EHR
    4. Functionality
    5. Signatures
    6. Classification Systems
    7. Standards
      1. Standards Development Organizations
      2. Data Content Standards
    8. Vocabulary Standards
      1. Systematized Nomenclature of Medicine (SNOMED)
    9. Messaging Standards
      1. Health Level & (HL7)
    10. Data Structures
    11. EHR Tools
      1. Data Retrieval
      2. Graphic User Interface
      3. Alerts and Reminders
      4. Natural Language Processing
    12. Legal Issues
    13. Interoperability
    14. Impact on HIM
  16. Data Storage and Retrieval
    1. Data Sources
    2. Electronic Document Management System
    3. Maintenance and Monitoring of Data Storage Systems
    4. Report Generation/Data Monitoring
  17. Privacy and Security
    1. Health Insurance Portability and Accounting Act of 1996
    2. Security
    3. Certifications
  18. Speech Recognition
    1. Definition
    2. History of Speech Recognition
    3. Benefits of Speech Recognition
    4. Software
    5. Speech Pattern Issues
    6. Computer Usage Recognition
    7. Issues with Speech Recognition
    8. Speech Recognition Principles
  19. The Future of Computers
    1. Evolving Technologies
      1. Natural Language Processing
      2. Computer-Assisted Coding
      3. PHR
      4. PHR Issues
      5. Consumer Health Informatics
      6. ICD-10-CM and ICD-10-PCS
    2. Emerging Issues

VII.  Methods of Instruction

This is a fully on-line course utilizing scheduled curriculum. Instruction includes on-line communication in D2L utilizing the following: lecture notes, power point slide sets, discussion topics, learning communities using discussion and chat, exercises in web-based simulations, quizzes, and assignments using drop-box.

Course may be taught as face-to-face, hybrid or online course.

VIII. Course Practices Required

Course may be taught as face-to-face, hybrid or online course. Students are required to use class D2L website, simulation portal, complete all assignments and required readings, participate in online discussions and chat session, take quizzes and exams.

IX.   Instructional Materials

Note: Current textbook information for each course and section is available on Oakton's Schedule of Classes.


  • Textbook: Exploring Electronic Health Records,  Foltz,D., Lankisch, D. 2015 Paradigm Publishing
  • Web Access: Paradigm Navigator, Paradigm web-hosted portal for EHR simulator
  • D2L class website, and the Internet.
  • X.    Methods of Evaluating Student Progress

    Evaluation will be based on assignments, projects, quizzes, papers, and exams. The grading scale will be:

    A = 100 - 94%
    B =  93 - 88%
    C =  87 - 82%
    D =  81 - 76%
    F =  Below 76%

    XI.   Other Course Information

    If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services. To request accommodations or services, contact the Access and Disability Resource Center at the Des Plaines or Skokie campus. All students are expected to fulfill essential course requirements. The College will not waive any essential skill or requirement of a course or degree program.

    Oakton Community College is committed to maintaining a campus environment emphasizing the dignity and worth of all members of the community, and complies with all federal and state Title IX requirements.

    Resources and support for
    • pregnancy-related and parenting accommodations; and
    • victims of sexual misconduct
    can be found at www.oakton.edu/title9/.

    Resources and support for LGBTQ+ students can be found at www.oakton.edu/lgbtq.

    Electronic video and/or audio recording is not permitted during class unless the student obtains written permission from the instructor. In cases where recordings are allowed, such content is restricted to personal use only. Any distribution of such recordings is strictly prohibited. Personal use is defined as use by an individual student for the purpose of studying or completing course assignments.

    For students who have been approved for audio and/or video recording of lectures and other classroom activities as a reasonable accommodation by Oakton’s Access Disabilities Resource Center (ADRC), applicable federal law requires instructors to permit those recordings. Such recordings are also limited to personal use. Any distribution of such recordings is strictly prohibited.

    Violation of this policy will result in disciplinary action through the Code of Student Conduct.