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  2. Electronic health record - Wikipedia

    en.wikipedia.org/wiki/Electronic_health_record

    The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations. The EMR, in contrast, is the patient record created by providers for specific encounters in hospitals and ambulatory environments and can serve as a data source for an EHR. [6][7] In contrast, a ...

  3. Health information technology - Wikipedia

    en.wikipedia.org/wiki/Health_information_technology

    Health information technology (HIT) is "the application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, health data, and knowledge for communication and decision making". [8] Technology is a broad concept that deals with a species' usage ...

  4. Medical transcription - Wikipedia

    en.wikipedia.org/wiki/Medical_transcription

    This report is also referred to by many as a "medical record". Each specific transcribed record or report, with its own specific date of service, is then merged and becomes part of the larger patient record commonly known as the patient's medical history. This record is often called the patient's "chart" in a hospital setting.

  5. Healthcare industry - Wikipedia

    en.wikipedia.org/wiki/Healthcare_industry

    Healthcare industry. The healthcare industry (also called the medical industry or health economy) is an aggregation and integration of sectors within the economic system that provides goods and services to treat patients with curative, preventive, rehabilitative, and palliative care. It encompasses the creation and commercialization of products ...

  6. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...

  7. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    It contains information in accordance with the steps of the nursing process. Nursing documentation is the principal clinical information source to meet legal and professional requirements, care nurses' knowledge of nursing documentation, and is one of the most significant components in nursing care. Quality nursing documentation plays a vital ...

  8. Memorandum - Wikipedia

    en.wikipedia.org/wiki/Memorandum

    Memorandum. A memorandum (pl.: memoranda; from the Latin memorandum, " (that) which is to be remembered"), also known as a briefing note, is a written message that is typically used in a professional setting. Commonly abbreviated memo, these messages are usually brief and are designed to be easily and quickly understood.

  9. Personal health record - Wikipedia

    en.wikipedia.org/wiki/Personal_health_record

    A personal health record (PHR) is a health record where health data and other information related to the care of a patient is maintained by the patient. [1] This stands in contrast to the more widely used electronic medical record, which is operated by institutions (such as hospitals) and contains data entered by clinicians (such as billing data) to support insurance claims.