OBJECTIVES To summarize current excellent research in the field of patient records. METHOD Synopsis of the articles selected for the IMIA Yearbook 2006. RESULTS Current research in the field of patient records analyses users' needs and attitudes as well as the potential and limitations of electronic patient record systems. Particular topics are the questions physicians have when assessing p...

background:     objective:     method     the results were reported in ratios (%) averages and standard deviation. t-test was used to examine the association of length of stay and records data adequacy scores. data was analysed by the spss software   data was analysed by the spss software data was analysed by the spss software results:     conclusion:     key words     : documentation , medical...

Investigation of an individual patient consists of three essential processes: first, taking a history; secondly, examining the patient; and thirdly, undertaking a variety of tests such as x-ray examinations , biochemical estimations, and so on. Whereas in the past history taking and clinical examination were the most important processes of diagnosis, ancillary investigations are now assuming a ...

INTRODUCTION This project implemented an integrated patient self-reported screening tool in a patient portal and assessed clinical workflow and user experience in primary care practices. METHODS An electronic health risk assessment based on the CMS Annual Wellness Visit (AWV) was developed to integrate self-reported health information into the patient's electronic health record (EHR). Patient...