Introduction
An electronic health record (EHR) is a person's authentic health record that is shared among various agencies and offices (Hasanain, 2014). The role of EHRs is getting to be expanding persuasive as progressively tolerant data winds up computerized and bigger quantities of customers express a need to have portable access to their health records. It is an electronic form of a patient's paper record. EHRs offer the upside of making data about patient consideration accessible, in a protected way, to numerous approved clients (Kierkegaard, 2019). In spite of the fact that EHRs change in content and usefulness, they are regularly intended to incorporate the therapeutic and treatment accounts of the patient, just as the patient's findings, meds, vaccination dates, radiology pictures, and lab and test results, among other data. EHRs can possibly coordinate data from various sources and give a progressively thorough perspective on patient consideration despite the fact that this has demonstrated challenges to accomplish in genuine practice. EHRs likewise may give access to apparatuses like clinical choice help updates and reports that guide clinicians and groups in conveying care dependent on the best accessible proof. The paper shares the EHR platform (EPIC), discusses the challenges and barriers to electronic charting giving reasons why have we moved from paper charting to EHR’s and defining meaningful use regulations analyzing why is it important to know when documenting in the EHR.

EHR platform (EPIC)

An organization utilizing Epic can impart its case to different suppliers in the network. The patient's record is on one common database. Network suppliers can get to the patient diagram by means of a web interface, with the goal that they can pursue the patient's consideration over the health framework, plan arrangements, place orders, send notes and the sky is the limit from there. This is the thing that individuals customarily consider as interoperability. At the point when a patient appears for consideration at a health framework utilizing Epic, ‘Care Everywhere’ conveys solicitations to other health frameworks, gets the standardized summary(C-CDA) and fuses the new information inside the patient's record. Furthermore, ‘Care Everywhere’ can get a computerized solicitation and send the synopsis to the requesting health framework. The association that is at presents observing the patient can send the C-CDA outline to another association. This is best utilized for referrals known as direct messaging.

Epic likewise offers its happy together component, which enables patients and suppliers to see information from numerous sources in a solitary, combined entrance view, and working together, which enables health frameworks to take activities like copy lab request checking, recovering reference-quality pictures, planning, informing, and looking crosswise over wellbeing frameworks, functioning as one (Hasanain, 2014). Epics utilizes the patient entryway, My Chart, where patients can see their very own record and direct a brief web perspective on their record outline to anybody on the planet who has a web association. Epic's Lucy is a detached individual health record. Patients can coordinate a rundown of their data from the Epic EHR, different EHRs, and non-EHR sources like PDFs. Information can be downloaded to PC, spared to a glimmer drive, or safely put away in the cloud. It's imperative to put resources into EHRs that help human services advancement and incorporation utilizing benchmarks based APIs that can bolster healthcare health’s' work process needs and select use-cases. Medicinal services Chief Information Officers (CIOs) ought to put resources into EHRs that welcome coordinated effort with any framework and don't compel a solitary merchant approach that cutoff point’s cross-setting joint effort. Measures based Application Program Interfaces (APIs) to drive significant interoperability and empower outside applications ought to be inserted in EHR work processes.

Challenges and Barriers to Electronic Charting

Numerous practices would concur that changing to another electronic health record (EHR) framework is no simple undertaking. By working intimately with the best EHR merchant dependent on a restorative practice's needs, the progress can be smooth and the initial phase in counteracting a considerable lot of the regular difficulties that can emerge when exchanging EHR sellers or changing off of the paper (Gagnon et.al, 2016). Regardless of whether it is from paper outlining or another EHR framework, accompanies anticipated difficulties for restorative practices. Regular difficulties in EHR framework usage in many cases happen when clinicians and other key staff are not straightforwardly engaged with the reviewing and execution process. This can make them feel less constrained to completely acknowledge and embrace the new innovation and might be all the more testing with regards to preparing, hence not augmenting the genuine advantage and capability of the EHR framework. EHR framework costs, absence of purchase in, alongside ease of use and preparing frequently come up as boundaries to usage.

Concerns in regards to costs versus advantages speak to a standout amongst the most widely recognized difficulties in EHR execution....…and giving patients access to electronic duplicates of their own health data. Stage 2 developed stage 1 criteria by empowering the important utilization of certified EHR technologies (CEHRT). This stage underlined care coordination and the trading of patient data. It expanded the limits of criteria consistency and presented progressively clinical choice help, care coordination prerequisites, and patient commitment rules. Stage 3 concentrated on utilizing CEHRT to improve health results by executing secured health data, re-endorsing, clinical choice help, electronic supplier request section, tolerant supplier get to, facilitated care through patient commitment, health data trade, clinical information vault, and case revealing.

In April 2018, CMS renamed important use from the EHR Incentive Programs to the Promoting Interoperability Programs, with the expectation of mirroring attention on improving interoperability, adaptability and patient access to health data. In CMS' new principle, the office noticed that start with an EHR detailing period in 2019, every single qualified emergency clinic under the Medicare and Medicaid Promoting Interoperability Programs are required to utilize the 2015 Edition of CEHRT.

Conclusions

As a result of the recent government endeavors, most strikingly EHR significant use and EHR affirmation criteria, utilization of EHRs can be relied upon to increment drastically in the coming months and years. Meaningful use criteria direct how qualified suppliers and medical clinics must utilize EHRs innovation, while accreditation measures indicate what abilities that EHR must have so as to help significant use (Murphy & Yale, 2014). A portion of these criteria and necessities are straightforwardly relevant to research facility testing at present, and more guaranteed to be pertinent to lab testing later on. Electronic health record (EHR) frameworks hold incredible guarantee for improved patient consideration, yet hitherto they have not yet satisfied their potential. The United States isn't the only one in confronting EHR framework usage obstacles. Since contemporary EHR frameworks experience the ill effects of numerous inadequacies, the restorative large amount of information that they produce is likewise frequently defective. Information quality issues can bargain the estimation of databases for logical research, quality appraisal, general health, and different purposes. Modernized choice help for clinicians ought to be taken to another level. While doctors will, in any case, be at last in charge of making the last conclusion, the EHR should propose potential judgments for the doctor to consider, alongside tests and medicines dependent on rules and writing that are a tick or a voice direction away.…