To modify the health documentation in dentistry to support forensic dentistry tasks should include: a breakdown of the number of teeth in the dental arches, the presence of filler their material and cover the tooth in facets, endodontic root, the presences of fixed and removable dentures, implants, information on whether the teeth found incorrect teething. We developed a new electronic oral hea...

BACKGROUND AND OBJECTIVE Providing patients access to their medical records offers many potential benefits including identification and correction of errors. The process by which patients ask for changes to be made to their records is called an 'amendment request'. Little is known about the nature of such amendment requests and whether they result in modifications to the chart. METHODS We con...

Electronic Health Record (EHR) is one of the most important achievements of information technology in healthcare domain, and if deployed effectively, it can yield predominant results. The aim of this study was a SWOT (strengths, weaknesses, opportunities, and threats) analysis in electronic health record implementation. This is a descriptive, analytical study conducted with the participation of...

Medical record documentation of patient data has evolved during the past several years. Early patient medical records included brief, written case history reports maintained for teaching purposes. One such document obtained is a text from Egypt of 48 case reports that includes injuries, fractures, wounds, dislocations, and tumors that date back to 1600 BC. This document was written on papyrus t...

We measured the prevalence (or rate) of patient-note mismatches (clinical notes judged to pertain to another patient) in the electronic medical record. The rate ranged from 0.5% (95% CI 0.2% to 1.7%) before a pop-up window intervention to 0.3% (95% CI 0.1% to 1.1%) after the intervention. Clinicians discovered patient-note mismatches in 0.05-0.03% of notes, or about 10% of actual mismatches. Th...

This special issue of JAMIA presents several applications of electronic health record (EHR) systems for clinical decision making. The integration of genetic information into EHRs has been receiving a lot of attention in the past few years. Wilcox et al (see page e117) describe the implementation of a user interface in an EHR that resulted in timely dissemination of gene variant information to c...

Integrated care concepts can help to diminish demographic challenges. Hereof, the use of eHealth, esp. overarching electronic health records, is recognized as an efficient approach. The article aims at rigorously defining the concept of lifetime electronic health records (LEHRs) and the identification of core factors that need to be fulfilled in order to implement such. A literature review was ...