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Typical data types which are often found within a CDR include: clinical laboratory test results, patient demographics, pharmacy information, radiology reports and images, pathology reports, hospital admission, discharge and transfer dates, ICD-9 codes, discharge summaries, and progress notes. [1]
Providing patients with information is central to patient-centered health care and this has been shown to have some positive effects on health outcomes. [22] Providing patients with access to their health records including medical histories and test results via an electronic health record is a legal right in some parts of the world.
Audit trails refer to keeping information about who had recently used or accessed patient records. Through the usage of audit trails and the above-mentioned security steps, Electronic Health Records could most probably be made the best way of collecting, storing, retaining and using patient health information. [citation needed]
Due to a wave of phishing attacks utilizing Microsoft 365 in early 2021, [6] Microsoft uses algorithms to automatically detect and block phishing attempts with Microsoft Forms. [7] Also, Microsoft advises Forms users not to submit personal information, such as passwords, in a form or survey.
The patient health record is the primary legal record documenting the health care services provided to a person in any aspect of the health care system. The term includes routine clinical or office records, records of care in any health related setting, preventive care, lifestyle evaluation, research protocols and various clinical databases.
2. **Patient Data Interface**: Integrates with electronic health records (EHR) systems to access patient demographics, medical history, test results, and current medications. 3. **Inference Engine**: Analyzes patient data and applies clinical rules to generate suggestions or alerts based on predefined algorithms. 4.
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