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May 20202020 CLA BSI Medical Record Abstraction Tool Refer to associated 2020 MEAT instructions 1. IDENTIFIERS AND ABSTRACTED DATA: Use Tables on page 1 to document information as needed to answer
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How to fill out use of electronic medical

01
Access the electronic medical record system using login credentials provided by the healthcare facility.
02
Locate the patient's record by searching for their demographic information or medical record number.
03
Fill in the required fields with accurate and up-to-date information regarding the patient's medical history, current medications, allergies, and any other pertinent details.
04
Ensure that all entries are legible and in compliance with healthcare regulations and standards.
05
Save the completed electronic medical record and log out of the system to protect patient confidentiality.

Who needs use of electronic medical?

01
Healthcare professionals such as doctors, nurses, and medical assistants who are involved in providing care and treatment to patients.
02
Healthcare facilities and organizations looking to streamline their record-keeping process and improve accuracy and accessibility of patient information.
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Electronic medical records are digital versions of paper charts that contain all of a patient's medical history from one practice. They are used by healthcare providers to track data over time, identify patients in need of preventive visits and screenings, improve overall quality of care, and streamline clinical processes.
Healthcare providers and facilities that use electronic medical records are required to file use of electronic medical.
Use of electronic medical should be filled out accurately and truthfully, ensuring that all required information is included and any supporting documentation is provided.
The purpose of use of electronic medical is to ensure that patient data is being properly recorded and maintained in electronic medical records in accordance with applicable laws and regulations.
Information that must be reported on use of electronic medical includes details about the electronic medical records system being used, the number of patients with electronic records, and any challenges or issues encountered.
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