Standardization and the Electronic Health Record.edited - STANDARDIZATION 1 Standardization and the Electronic Health Record Jackie Mikle Walden

Standardization and the Electronic Health Record.edited -...

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STANDARDIZATION 1 Standardization and the Electronic Health Record Jackie Mikle Walden University
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STANDARDIZATION 2 Standardization and the Electron Health Record Electronic health record has made a huge impact in exchanging clinical information which affects the delivery of patient care. The methodology to the madness in presenting the same patient information into systems with no integration capabilities of semantic (interoperable terminologies) structures. In order to “enhance data interoperability requires structural standardization among healthcare professionals in data exchange like data set elements, data structures and reference model” (Ferranti et al, 2006). Standardization in any health records will include items such as medications, various labs reports with specific to the patient, and progress notes in light of medical history. There are three potential benefits of continuity of care records (CCR) that are medication errors, duplicate prescriptions, and redundant laboratory testing.
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  • Fall '15
  • duffy
  • Electronic health record, CCR

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