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The adoption of electronic medical records refers to the recent shift from paper-based medical records to electronic health records (EHRs) in hospitals. The move to electronic medical records is becoming increasingly prevalent in health care delivery systems in the United States , with more than 80% of hospitals adopting some form of EHR system ...
Federal and state governments, insurance companies and other large medical institutions are heavily promoting the adoption of electronic health records.The US Congress included a formula of both incentives (up to $44,000 per physician under Medicare, or up to $65,000 over six years under Medicaid) and penalties (i.e. decreased Medicare and Medicaid reimbursements to doctors who fail to use ...
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. [7] [8]
The Certification Commission for Health Information Technology (CCHIT) was an independent, 501(c)(3) nonprofit organization with the public mission of accelerating adoption of robust, interoperable health information technology in the United States. The Commission certified electronic health record technology (EHR
The secondary patient record is a record that is derived from the primary record and contains selected data elements to aid non clinical persons in supporting, evaluating and advancing patient care. Patient care support refers to administration, regulation, and payment functions.
[1] [2] [3] All certified Electronic health records in the United States are required to export medical data using the C-CDA standard. [4] While the standard was developed primarily for the United States as the C-CDA incorporates references to terminologies and value set required by US regulation, it has also been used internationally.
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Clinical Quality Language (CQL) is a ANSI certified [15] clinically focused high-level expression language standard curated by Health Level 7. [16] It is designated for clinical knowledge sharing in the domains of electronic clinical quality measurement and clinical decision support .