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Electronic Medical Record Analysis

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1. An Electronic Health Record (EHR) and an Electronic Medical Record (EMR), both deal with electronic data that can be created, controlled, and accessed. An EMR is a computerized record of one physician’s encounter with a patient over time, such as a doctor’s office, or clinic. Whereas, an EHR is a computerized lifelong healthcare record for an individual that incorporates data from providers who have treated the individual. Authorized users have access to a patients files at more than one location. Our text defines an EHR as “An electronic record of health related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff …show more content…
Patients and medical staff gain an enormous amount of benefits. Some which include better quality of care; potential financial incentives; cost reduction of paper, which means more storage space; has the capability of data to be transferred electronically to another system; productivity, and efficiency; reduction of medical errors; trend analysis; health maintenance; alerts; orders, and results. Authorized personal have unlimited access to patient information, which increases the efficiency and accuracy of providing patient …show more content…
The benefits of having structured data include, completeness, quality and accessibility. Having drop down menus and check lists, allow emergency room staff the ability to quickly access a patient during a congested time. Whereas unstructured data, contains more detail with the feature of narrative data being entered via: “keyboarding in a comment field, dictation/transcription, speech recognition (except that combined with natural language processing to produce structured data)” (chapter 5). For example, having notes written by the physicians and other practitioners, that provide dictated and transcribed reports. Although structured data provides more opportunity for data to be easily viewed, shared, and accessed, it is important to note that without consistency in healthcare, structured database have shown to encounter problems, when communicating between different types of systems. Therefore, unstructured data is often preferred over structured data, because it provides greater detail. Whether database systems are structured or unstructured, the U.S. needs to have consistent systems throughout healthcare. We will begin to see a reduction in the amount of errors that occur during the reimbursement process, by organization using the same type of coding

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