Professional Documents
Culture Documents
Electronic Record
Electronic Record
Hassan Rizvi
CTU Online
Paul Axelband
HIT105
10-19-2008
2
Electronic Record
Electronic Record
Chief complain.
History of illness.
History of hospitalization.
Drug history.
Family history.
Social history.
History of smoking.
History of alcohol.
Gynaecological history.
Investigations.
Differential Diagnosis.
Final diagnosis.
Treatment.
First name.
Last name.
Middle name.
Salutation.
Street address.
3
Electronic Record
State.
Country.
Zip code.
Ethnicity.
Date of birth.
Telephone no.
4
Electronic Record
References
Electronic Health Record. Retrieved October, 14, 2008, from HIMSS web site:
http:// www.himss.org/ASP/topics_ehr.asp