释义 |
DictionarySeerecordEncyclopediaSeeEHRelectronic health record
electronic health record A computerised record of a person's health “transactions” in the UK, collated from summaries of individual electronic patient records and other relevant data. The ultimate goal is that every person in the UK will have a lifelong, data-protected EHR from birth to death, which will “travel” with them even if they change doctor or move around the country; EHRs will eventually replace paper patient records.e·lec·tron·ic med·i·cal re·cord (EMR) (ĕ-lek-tron'ik med'i-kăl rek'ŏrd) A computerized (i.e., digitized) system for maintaining patient health information that generally includes patients' presenting (chief) complaints, history of prior illnesses, prior diagnostic testing, and prior medical treatments. Electronic records are used as a substitute for the traditional paper medical record; material is easier to access and update. Synonym(s): electronic health record. record (rek'ord) 1. A written account of something. See: problem-oriented medical record2. In dentistry, a registration of jaw relations in a malleable material or on a device. anecdotal recordsNotes used in nursing education to document observed incidents of a student's clinical behavior related to attainment of clinical learning objectives. Such anecdotal notes have not been treated as hearsay evidence in a court but have been upheld as documented evidence for failing a student. electronic health record Abbreviation: EHR Electronic medical record.electronic medical record Abbreviation: EMR A computerized database that typically includes demographic, past medical and surgical, preventive, laboratory and radiographic, and drug information about a patient. It is the repository for active notations about a patient's health. Most EMRs also contain billing and insurance information and other accounting tools. Synonym: electronic health recordfunctional chew-in recordA record of the natural chewing action of the mandible made on an occlusion rim by the teeth or scribing studs. interocclusal recordBite plate.medical recordA written transcript of information obtained from a patient, guardian, or medical professionals concerning a patient's health history, diagnostic tests, diagnoses, treatment, and prognosis. medication administration record Abbreviation: MAR A file maintained on hospital units that documents the schedule and dosing of medications given to patients. open medical recordA medical record accessible by the patient for his or her personal review.personal health recordA summary of a patient's health care status (allergies, drugs taken, past hospitalizations, lab tests, radiology results, and surgeries) that is kept by the patient privately rather than stored in a hospital or third-party database. LegalSeeRecord |