A recent publication details five levels of electronic health records
as defined by the Medical Records Institute and notes that no computer
-based patient record system from any company meets the criteria set b
y the Institute of Medicine. The present article calls to the attentio
n of potential purchasers of medical record software our observation t
hat even ifa package appears to meet the abstract criteria for all fiv
e levels of electronic health records, its performance may not be sati
sfactory. A look beyond the user interface screen is highly recommende
d. Examples from our recent experience are given.