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The Electronic Health Record (EHR)
The Electronic Health Record (EHR), and Electronic Medical Record (EMR) serve as an electronic
replacement for paper records. It is an individual patient's medical record in digital format and contains people's
demographics, diagnoses, radiolgy reports, progress notes, medications, immunizations, laboratory findings, and
medical coding information. Many medical practices and physicians utilize EMR software, and speech recognition
programs together as they transition toward a paperless office. It serves as a doctor's own electronic record of
his, or her patient's medical care and is updated each time the patient is seen.
EMR vs. EHR...
While the EMR is for a doctor's own use in-house for his patients, the EHR allows communication
with other doctors, as well as medical billing, and medical transcriptionist professionals. It is a record of a
patient's long-term and aggregate health information generated by one, or more encounters in any medical care
delivering system. The EHR, and EMR software and databases must be fully HIPAA compliant. When a caregiver, or
allied health professional needs to access the patient's record, it requires a unique login ID (user name and
password) for each user to access the system.
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