Core Elements of an Electronic Medical Record

The Policy Subcommittee of the Legal and Policy Workgroup of the NC HIE is charged with developing recommendations on what type of patient consent should be required and how that consent should be obtained for use and disclosure of personal health information in a Health Information Exchange (HIE).   To minimize the burden on physicians and to increase consumer confidence in HIE, it would be helpful to know what are the most important pieces of information for physicians treating patients (e.g., medications, labs, allergies, imaging…).  Please list those piece of information that are most critical.  Thanks!


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