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Chapter 7
| Term | Definition |
|---|---|
| Electronic Medical Record (EMR) | Digital version of the medical records in a clinicians office |
| Electronic Health Record (EHR) | Patients total health information is in one record to share with other healthcare providers (labs, specialists, and hospitals) |
| Addendum | A new documentation used to add information to the original entry |
| Amendment | Clarify or correct information in the EHR |
| Health Information Technology | Used to store, share, and analyze health information |
| Telemedicine | Exchange of medical services and information using electronic communication |
| Five Cs | Concise, complete, clear, correct and chronologically ordered |
| Information entered into a patients health record? | Patient identification and insurance information, consent forms, clinical data, and other administrative information |