Wk 6_Odom Ch_6_Format&Forms.lecture notes

Wk 6_Odom Ch_6_Format&Forms.lecture notes - 1 2007...

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Unformatted text preview: 1 2007 Documentation for Medical Records Chapter 6 Format of the Health Record Forms Design instructor lecture notes 2007 Introduction Regardless of format, health records must include same patient information and perform same functions. 2007 Formats for Paper-based Health Records Source-oriented health record arranged by point of origin Problem-oriented health record arranged according to problem list Integrated health record strict chronological order (See also LaTour, p. 186) 2007 Limitations of Paper-based Health Records Strict record format chart order Can only be viewed by one user at a time Not always immediately available Can be difficult to update Fragile (See also LaTour, pp. 186, 188) 2007 Definition of the Electronic Health Record An electronic patient record that resides in a system specifically designed to support users by providing accessibility to complete and accurate data, alerts, reminders, clinical decision support systems, links to medical knowledge, and other aide. 2007...
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This note was uploaded on 10/07/2011 for the course HIM 317 taught by Professor Williams during the Fall '11 term at Ill. Chicago.

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Wk 6_Odom Ch_6_Format&Forms.lecture notes - 1 2007...

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