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The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations. The EMR, in contrast, is the patient record created by providers for specific encounters in hospitals and ambulatory environments and can serve as a data source for an EHR. [ 6][ 7] In contrast, a ...
Google Docs is an online word processor and part of the free, web-based Google Docs Editors suite offered by Google, which also includes Google Sheets, Google Slides, Google Drawings, Google Forms, Google Sites, and Google Keep. Google Docs is accessible via an internet browser as a web-based application and is also available as a mobile app on ...
Gmail. Gmail is the email service provided by Google. As of 2019, it had 1.5 billion active users worldwide, making it the largest email service in the world. [ 1] It also provides a webmail interface, accessible through a web browser, and is also accessible through the official mobile application. Google also supports the use of third-party ...
Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]
SOAP note. The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient 's chart, along with other common formats, such as the admission note. [ 1][ 2] Documenting patient encounters in the medical record is an integral part of practice ...
OpenNotes is a research component of the Research Section of the Division of General Medicine at Beth Israel Deaconess Medical Center in Boston, MA. The program is affiliated with the John F. Keane & Family Professorship in Medicine at Harvard Medical School; the holder of this title is recognized as a distinguished as a leader in advancing patient and clinician engagement and health care ...
A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...
mHealth. mHealth (also written as m-health or mhealth) is an abbreviation for mobile health, a term used for the practice of medicine and public health supported by mobile devices. [ 1] The term is most commonly used in reference to using mobile communication devices, such as mobile phones, tablet computers and personal digital assistants (PDAs ...