During my hospital medical training, one of my fellow residents always finished his day’s admissions before the rest of us. Finally, someone asked him what his secret was. The answer: "Crappy writeups." We knew what he meant. The physical exam, ordering the needed tests, and devising the treatment plan were the interesting parts, but writing it all up for the patient’s permanent record was drudgery. And time-consuming.
Full EHR interoperability and data standardization remain the holy grail: mysterious and elusive. So hospitals are employing different strategies to access a patient's complete medical history.
Ensuring the privacy and security of clinical information, including electronic health records and personal health records. government information security
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