The electronic dental record (EDR) also known as the electronic oral health record is an electronic health record (EHR). The American Dental Association (ADA) defines the EDR as “a combination of processes and data structures, used by dentists, for purposes of documenting or conveying
Operative note is an important part of the medical chart that refers to a surgeon’s report and includes all necessary documentation regarding all the procedures ranging from what operation a patient had, what was found during surgery, and the post-operative instructions from the surgeon. Operative
Electronic health record (EHR) adoption in the United States has reached a new high at 89%, according to a recent SelectHub report. However, even as EHR systems are constantly evolving, usability issues still persist. Surveys have found that lack of user-friendliness and documentation issues
The patient problem list, a key component of the electronic health record (EHR), is a list of the important illnesses, injuries, and other factors impacting a patient’s health. American Health Information Management Association (AHIMA) defines the problem list as “a compilation of clinically relevant
The electronic medical record (EMR) contains a ton of information – the patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, results of lab tests, and radiology images. Outsourcing medical transcription helps providers ensure up-to-date information in the EMR. Today, integration of the