When Correcting an Entry in an Electronic Medical Record System
Information needed to review an electronic medical record including pertinent codes and security features must be readily available to surveyors to permit their review of sampled medical. Previously when alterations were made to a paper medical record the same health care provider that made the original entry would cross out the altered entry with a single line add a correction and initial the change with the date and time of the. Pdf Acceptance Model Of Electronic Medical Record Records sourced from electronic systems containing amendments corrections or delayed entries must. . Medical record keeping within an EHR deserves special considerations. When correcting an entry in an electronic medical record system a. Clearly identify all original content without deletion. The complexity of medical decision making is based on. When this happens you should immediately document the additional information in the EMR. When correcti...