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What is an electronic health record (EHR)? | HealthIT.gov
- https://www.healthit.gov/faq/what-electronic-health-record-ehr
- An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and …
Clinical documentation | How to document medical …
- https://onthewards.org/how-to-document-well/
- The basics of clinical documentation Date, time and sign every entry. Although simple, its importance cannot be …
Documentation and Data Improvement Fundamentals
- https://library.ahima.org/doc?oid=60174
- The two most important aspects of patient medical record documentation are as follows: The attending physician's documentation is key throughout the patient's stay. In each …
Management of Health Records | HCP | Infection Control …
- https://www.cdc.gov/infectioncontrol/guidelines/healthcare-personnel/health-records.html
- Information systems designed to record and rapidly retrieve confidential HCP data, such as evidence of immunity, can enable efficient responses to infectious exposures and …
Clinical documentation integrity | 3M Health Information …
- https://www.3m.com/3M/en_US/health-information-systems-us/improve-revenue-cycle/clinical-documentation-integrity/
- Wherever you are in your journey to advance your CDI program, 3M has the software and services to help you focus on quality, manage Hierarchical Condition Categories (HCCs) …
Health Information Systems: Importance …
- https://onlinemasters.ohio.edu/blog/health-information-systems/
- A health information system enables health care organizations to collect, store, manage, analyze, and optimize patient treatment histories and other key data. These systems also enable …
Medical Information Systems - an overview
- https://www.sciencedirect.com/topics/medicine-and-dentistry/medical-information-systems
- Semantic-driven medical information systems of the future will provide intelligent interfaces for medical researchers, doctors, and patients involving the use of medical …
Clinical Documentation Integrity Education & Training
- https://www.ahima.org/education-events/education-by-topic/
- Leadership. Overview. Clinical documentation is at the core of every patient encounter. In order to be meaningful, the documentation must be clear, consistent, …
VHA Directive 1907.01, VHA Health Information …
- https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235
- Professional education and experience prepare HIM professionals, who are preferably credentialed, to direct health information programs; develop systems that document, …
Software | Epic
- https://www.epic.com/software
- We are builders and inventors who develop our software as a single comprehensive health record. It's made to work together inside and outside the traditional walls of a health system. Skip to page …
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