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Electronic Health Record

An Electronic Health Record (EHR) is a medical record or any other information relating to the past, present or future physical and mental health, or condition of a patient which resides in computers which capture, transmit, receive, store, retrieve, link, and manipulate multimedia data for the primary purpose of providing health care and health-related services.

EHR records includes patient demographics, progress notes, SOAP notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports.

Not-for-profit organizations such as Health Level 7 and Healthcare Information and Management Systems Society (HIMSS) are involved in the standardization process for EHR.

 



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