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Electronic Record

Running head: Electronic Record

Electronic Record

Hassan Rizvi

CTU Online

Paul Axelband

HIT105

10-19-2008
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Electronic Record

Electronic Record

In order to maintain electronic health record following items should be included:

Chief complain.

History of illness.

Past medical history.

Past surgical history.

History of hospitalization.

Drug history.

Family history.

Social history.

History of smoking.

History of alcohol.

History of illicit drug use.

Family support system.

Gynaecological history.

Investigations.

Differential Diagnosis.

Final diagnosis.

Treatment.

Social Security number.

First name.

Last name.

Middle name.

Salutation.

Street address.
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Electronic Record

State.

Country.

Zip code.

Ethnicity.

Date of birth.

Telephone no.
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Electronic Record

References

Electronic Health Record. Retrieved October, 14, 2008, from HIMSS web site:

http:// www.himss.org/ASP/topics_ehr.asp

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