The medical record serves several important purposes. It is the basis for the physician’s patient care planning and for continuity in evaluating the patient’s condition and treatment. In medical‚ record the evidence of the patient’s information about medical evaluation‚ treatment‚ and any change in condition and demographics about the patient. Medical records are used to communication between the physician and any other health professionals as needed‚ and whosoever the physician is working with
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Electronic Medical Record Speech Stephanie Heydon Axia College of University of Phoenix Computerizing Medical Data HCR/240 Lisa Daniel July 18‚ 2010 Electronic Medical Record Speech Hi‚ my name is Stephanie Heydon‚ and I am from the company‚ Sunrise Systems and Solutions. I want to start by thanking all of you for giving me the time to talk about electronic medical records. I will discuss the importance of practice management and how electronic medical records are essential in the
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ensure that individuals can receive the proper medical attention‚ and has made healthcare affordable for American that are not able to pay out of pocket for services provided. This action by the government has caused a surplus in patients seen by healthcare providers‚ which in return has increase the paperwork associated with business practices. As a result‚ providers are implementing systems such as Electronic Medical Records to ensure that patient records are accurate and accessible for multiple providers
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Electronic Medical records vs. Paper Medical Charts By: Diedre Fitzgerald Rasmussen College Summer 2012 English Composition; Professor Pauley Electronic Medical records vs. Paper Medical Charts It is no secret that the medical profession deals with some of population’s most valuable records; their health information. Not so long ago there was only one method of keeping medical records and this was utilizing paper charts. These charts‚ although still used in many practices today‚ have slowly been
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Summary of “ELECTRONIC MEDICAL RECORDS PRIVACY‚ CONFIDENTIALITY‚ LIABILITY” Varditer Avetisyan The main purpose of this article is to present the current controversy of utilizing electronic records (EMR) in place of paper records in today’s medical environment. Specifically‚ the article mentions the pros of an EMR as being; making it easier to share medical information‚ making access to medical records more fluid‚ and reducing the overall cost of care delivery. It also mentions the cons
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Name: Institution: Tutor: Date: Introduction Medical record numbering and filing is the most important tasks in the management of medical information in health care institutions. Well kept and filed medical records enhance effective and efficient collecting‚ recording and retrieval of patient health information whenever required. The patient record care system adopted influence the ease of maintenance and retrieval of medical records. According to the Remote Health Branch of United States
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Chapter 3 – Medical Record | History of Present Illness | Patient is a 35 year old male complaining of nausea‚ pyrosis‚ indigestion‚ and melena stool. Patient stated that he has been experiencing abdominal pain that wakes him in the middle of night for over a month. He stated that he normally can drink a glass of milk or baking soda water to relive the pain‚ but this has no longer been effective. | Past Medical History | Patient is a smoker who drinks daily and suffering from obesity.
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APPLYING STANDARDIZED TERMINOLOGY The evolution of the electronic health record (EHR) in current health care setting has fast-tracked the need in nursing to interconnect within the construct of the computer technology. The utilization of standardized terminologies within EHR is essential for nurses to delineate the influence of nursing care netted within the electronic record. Currently‚ healthcare is facing the challenges of mandatory regulations and standards which posits greater impact to nursing
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050-word paper about a communication modality used in health care. Include the following in your paper: · Identify one specific mode of communication used by consumers and health care providers‚ such as e-mail‚ a web-based forum‚ or electronic medical records. · List and discuss the following: o One benefit to the patient o One aspect relating to the values and importance of maintaining patient confidentiality when using this mode of communication o One reason this mode
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Chapter 3 – Medical Record History of Present Illness The patient is a 61 year old female. The patient is complaining that they feel weak‚ their urine is dark‚ nausea‚ pain in the abdomen. Past Medical History Mrs. Carter has suffered from seizures since she was 14 years old. She has been taking Dilantin to help keep her seizures under control and to a minimum. Clear history otherwise. Physical Examination Temperature was 99.8 Pulse was 83 Blood Pressure was 120/84 Abdomen area was swollen
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