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Electronic Signature, Attestation, and Authorship. Appendix A: HL7 EHR-System Records Management and Evidentiary Support (RM-ES) Functional Profile Standard Excerpt (2009 update)

Author: AHIMA e-HIM Work Group: Best Practices for Electronic Signature and Attestation

Source: AHIMA practice brief attachment

Publication Date: November 2009


The records management and evidentiary support functional profile standard is a subset of functions and conformance criteria from the HL7 EHR-S Functional Model standard. The standard was created specifically to address requirements and criteria for basic record management functionality in EHR....

Driving Compliance through Data Governance

Author: Nunn, Sandra L.

Source: Journal of AHIMA

Publication Date: March 2009


Healthcare organizations increasingly struggle to manage huge volumes of e-mail, hundreds of thousands of documents on shared drives, and hundreds of source and feeder systems that pour data and records into EHR systems, data warehouses, and decision support systems. This has given new panache....

Health IT Certification Developments: CCHIT’s Current Work and How to Get Involved

Author: Birnbaum, Cassi L; Hall, Terri; Sweet, Helayne; Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: March 2009


For the last five years the Certification Commission for Healthcare Information Technology (CCHIT) has been working to promote the adoption of health IT by certifying electronic health record (EHR) products against common, baseline criteria.

The private, nonprofit certification body....

Maximizing e-Prescribing Success

Author: Washington, Lydia

Source: Journal of AHIMA

Publication Date: February 2009


With fewer barriers and increased provider incentives, e-prescribing is currently poised to take off. More than just a means for doctors to transmit prescriptions to pharmacies, e-prescription systems can provide prescribers with a patient’s medication history, drug plan information, low....

Authenticating EHR Metadata

Author: McLean, Thomas R

Source: Journal of AHIMA

Publication Date: February 2009


Any medical malpractice action involving electronic records is likely to raise issues concerning metadata. Metadata are tantamount to an audit trail of how an electronic record was used and modified.

However, before this audit trail can be used in court, it must be authenticated. Whi....

Universal Adapters: Terminology Standards Enable Meaningful Data Exchange

Author: Cook, Jane; Foley, Margaret M.; Giannangelo, Kathy; Paterno, Marilyn D.; Scichilone, Rita A; Schwarz, Kathleen M.

Source: Journal of AHIMA

Publication Date: January 2009


Standardized clinical terminologies are critical connectors that allow systems to exchange health information.

In the winter of 1904 a major fire broke out in Baltimore, MD. The resulting damage—an entire swath of the downtown destroyed—was blamed largely on a lack of uni....

HIM Professional's Role in Enterprise Content Management : Stepping Out of the Department and Into the Organization

Author: May, Michael L.; Martinez, Christina M.

Source: AHIMA Convention

Publication Date: October 17, 2008


Background


HIM Professionals can re-assert themselves as integral pieces of the EHR decision-making process for their organization by gaining new operationally appropriate technical competencies and building collaborative partnerships with our IT, clinical informatics, and leaders....

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