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Using a Delphi technique, an electronic medical record template was developed to capture the hidden activities of ENPs defined as secondary consultations.
Such a core list could then be incorporated into an electronic medical record template (with branching logic guiding the documentation of conditional items such as chest compressions), thereby facilitating quick and essential documentation, and more importantly, quick retrieval of accurate data through field-defined electronic queries.
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The electronic medical record includes templates for certain aspects of care such as vital signs, medications, and lab tests.
When a Read code for a musculoskeletal pain problem is entered in the electronic medical record, a computer template will be activated.
An electronic medical record with standardized templates could minimize this burden.
Procedures were modified for two clinics with electronic medical records which used templates that could not easily be modified to include the screening questions as part of nursing vital signs.
Accordingly the QUIET indicators could be used to develop electronic templates for use in documenting care for patients with epilepsy in organizations with electronic medical records (or a paper template for settings with paper records).
Well, at least three of these [keywords in templates] pop up automatically when I'm entering information about a patient [in the medical record].
Electronic medical record.
Medical record number.
Quality Systems is electronic medical record keeping.
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