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The terms EHR, electronic patient record (EPR) and electronic medical record (EMR) have often been used interchangeably, but "subtle" differences exist. [6] The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations.
The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.
Computerized physician order entry (CPOE), sometimes referred to as computerized provider order entry or computerized provider order management (CPOM), is a process of electronic entry of medical practitioner instructions for the treatment of patients (particularly hospitalized patients) under his or her care.
Becoming a data entry specialist may not exactly be the dream job you've always hoped for, but there are some very good reasons why you may want to consider this position while you are looking for ...
Electronic medical records, like other medical records, must be kept in unaltered form and authenticated by the creator. [24] Under data protection legislation, the responsibility for patient records (irrespective of the form they are kept in) is always on the creator and custodian of the record, usually a health care practice or facility.
Data entry is the process of digitizing data by entering it into a computer system for organization and management purposes. It is a person-based process [ 1 ] and is "one of the important basic" [ 2 ] tasks needed when no machine-readable version of the information is readily available for planned computer-based analysis or processing.