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ELECTRONIC HEALTH RECORDS SYSTEM: AUTOMATION OF
HEALTH RECORDS AT JUSTICE AND MERCY COMMUNITY
PROJECT YOGIS.BY: AUGUSTINE FATIMA NJUGUNAHEALTH INFORMATICS FELLOW REG. NO: W64/79875/2015A PROJECT REPORT
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How to fill out electronic health records system
How to fill out electronic health records system
01
To fill out electronic health records (EHR) system, follow these steps:
02
Log in to the EHR system using your assigned credentials.
03
Navigate to the patient's profile or search for the specific patient using their name, date of birth, or identification number.
04
Review the patient's existing medical information such as medical history, allergies, medications, and previous visit notes.
05
Enter any new health information gathered from the patient, including symptoms, vital signs, and current medications.
06
Document the examination findings, provide diagnoses and treatment plans.
07
Generate electronic prescriptions if needed, and ensure accurate medication dosage and frequency.
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Record any lab test results or imaging reports ordered for the patient.
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Document the patient's progress and any changes in their condition during subsequent visits.
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Ensure all data is accurately entered and properly saved.
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Close or sign out of the EHR system when finished.
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Remember to follow your organization's guidelines and protocols while using the EHR system.
Who needs electronic health records system?
01
Electronic health records (EHR) systems are beneficial for various individuals and organizations, including:
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- Healthcare providers such as doctors, nurses, and medical staff who need centralized access to patient information.
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- Patients who want their medical history, lab results, and prescriptions available in digital format.
04
- Hospitals, clinics, and healthcare facilities that aim to modernize their record-keeping and improve efficiency.
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- Insurance companies and billing departments that require accurate and up-to-date medical data for claims processing.
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- Researchers and public health organizations who analyze collective health data for studies and monitoring.
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- Government agencies responsible for public health policy-making and regulation enforcement.
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Implementing EHR systems can enhance coordination of care, reduce medical errors, and improve overall healthcare delivery.
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What is electronic health records system?
Electronic health records system is a digital system that stores patients' medical history, treatment plans, test results, and other health information.
Who is required to file electronic health records system?
Healthcare providers and organizations are required to file electronic health records system.
How to fill out electronic health records system?
Electronic health records system can be filled out by entering relevant patient information, updating medical records, and ensuring data accuracy.
What is the purpose of electronic health records system?
The purpose of electronic health records system is to improve healthcare quality, increase patient safety, and enhance healthcare delivery.
What information must be reported on electronic health records system?
Information such as patient demographics, medical history, medications, allergies, test results, and treatment plans must be reported on electronic health records system.
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