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, electronic health record templates and our free electronic health record templates permit drop down diagnoses using the icd 10cm functional diagnoses please find your jurisdiction’s templates but please read first the record keeping file that digests your state’s record keeping laws these ehr templates should be used as a starting point as laws do change please what is an electronic health record ehr an electronic health record ehr is a digital version of a patient’s paper chart ehrs are real time patient centered records that make information available instantly and securely to authorized users while an ehr does contain the medical and treatment histories of patients an ehr system is form and function in electronic health records form and function in electronic health records ann s o’malley m d m p h a senior researcher at the washington d c based center for studying health system change on march 24 published an article in the new england journal of medicine in which she discussed some of what she called the “daunting task” of fully leveraging information technology to improve healthcare delivery over time ,
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