Inside the Patient Chart

Learning Objectives
1. List major categories of data in the EHR
2. Explain how to find data in different ways to support pre-rounding and other activities
3. Recognize the difference between structured and unstructured data and implications for information retrieval
4. Identify and manage “chart lore”

0.25 Credit

AMA EHR Workflow Learning Series

Activity Information and Disclosures

Published Online: August 19, 2021 Interactive Course

Julian Genkins, MD^a;

Jeffrey A. Gold, MD^b

Author Affiliations

^aFellow, Clinical Informatics, Hospitalist, Department of Internal Medicine, Stanford Health Care
^bProfessor of Medicine, Vice Chair for Quality and Safety - Department of Medicine, Associate Director - Adult Cystic Fibrosis Center, Oregon Health & Science University

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Within the EHR Workflow Learning Series medical students will learn systematic and efficient ways to transform an electronic health record (EHR) into their ally. In this micro learning course about the patient chart you will learn how to list major categories of data in the EHR and explain how to find data in different ways to support pre-rounding and other activities. You will also learn to recognize the difference between structured and unstructured data, about the implications for information retrieval, and to identify and manage “chart lore.”

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Inside the Patient Chart

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