Medical History Taking Using Electronic Medical Records: A Systematic Review

Background: The relationship between digital tools and medical history taking (classically referred to as anamnesis) in clinical settings is problematic. We explored the context, how data managed by physicians patients which are used, particularly electronic health record, gather, organize record patient’s related data. Materials methods: Systematic review of literature following PRISMA (Preferred Reporting Items for reviews Meta-Analysis) guidelines, using published studies English-language available from PubMed Cochrane databases, a combination Medical Subject Headings keywords. Our search yielded 162 citations 18 corresponded our criteria were included, regardless study design, sample size or measurement type variety perspectives methodologies was deemed useful an exploratory under socio-technical research epistemology. small number publications topic conditioned analysis. Discussion: This shows paucity relevant area interest. Even thought it possible evaluate context changes that relate EHR implementation usage. Also, multiple challenges, benefits, risks workflow adaptations have impacts on taking. A potentially adaptation access previously during patient encounter with him her. Conclusion:With ever-increasing adoption EHRs its varying influence practice, physician’s adaptability strained. Multiple challenges necessary regarding use been identified. Improving anamnesis practice through better documentation, templates tools. Yet new aspect – Digital benefits conceptualization integration classic still taught traditional schools. points implications schools education general. Highlights: Electronic Health Records transformed redesigned workflows, improving safety care within multidisciplinary setting.Some concerns surfaced concerning information privacy, quality documentation doctor-patient relationship, however many developed implemented evaluated tools, mnemonics mitigate such distresses.“Digital anamnesis” proposed concept refers process gathering will be evermore important future, since technological development increasingly adds features functions Electronic Record.