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Electronic Health Record Dataset (ERD)Data Collection Flexible Submission GuideCalendar Year 2024Effective June 30October 1, 2024Contents Electronic Health Record Dataset (ERD) Data Collection Overview 3 Background 3 Data
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How to fill out automated electronic health record

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How to fill out automated electronic health record

01
Step 1: Enter patient's demographic information such as name, age, gender, and contact details
02
Step 2: Record patient's medical history including past illnesses, surgeries, and medications
03
Step 3: Document current symptoms, vital signs, and physical examination findings
04
Step 4: Input laboratory test results, imaging reports, and other diagnostic data
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Step 5: Add treatment plans, prescriptions, and follow-up instructions
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Step 6: Review and update the electronic health record regularly to ensure accuracy and completeness

Who needs automated electronic health record?

01
Healthcare providers like doctors, nurses, and specialists who need to access patient records quickly and efficiently
02
Hospitals, clinics, and other medical facilities looking to streamline their record-keeping process and improve patient care
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Patients who want their medical information to be stored securely and easily accessible to their healthcare providers

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Automated electronic health record is a digital version of a patient's paper chart, used to store and manage patient health information.
Healthcare providers and organizations are required to file automated electronic health records as part of their patient care services.
Automated electronic health records can be filled out by healthcare professionals using electronic health record software, inputting patient information, diagnoses, treatments, and outcomes.
The purpose of automated electronic health records is to streamline patient care, improve coordination between healthcare providers, and enhance patient safety and outcomes.
Information such as patient demographics, medical history, medications, allergies, immunizations, lab results, diagnoses, treatments, and progress notes must be reported on automated electronic health records.
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