Electronic Health Record and Medical Coding in Today's Digital Times

Running head: Health Informatics
Health Informatics
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HEALTH INFORMATICS1
Introduction
This paper focuses on the topic of electronic health record and discusses the purpose
of medical coding in today’s digital times. Physician documentation have become easier due
to use of technology in the form of diagnostic coding, e prescribing or clinical patient records
among others. It needs to be controlled and evaluated for efficient treatment. The medical
errors are minimised through use of the electronic records and has proved to be efficient in
health management of patients in both hospital and smaller health organizations (Brook et al.,
2016). Lastly, the paper will highlight the advancements of the technology and how these
records are shared easily through the health care settings. Progress notes in clinical records
with the use of advanced technology helps to acknowledge the care plan and assessment of
patient record.
Discussion
The efficient process of storage and processing the database is beneficial and manages
the medical records efficiently. Many times prescriptions of diagnostic results are misplaced
or delayed to the physician, the coding and examination process has minimised the confusion
and the mismanagement of prescriptions. The purpose of medical coding is to make an
assessment by expert that can be directed for treatment. Coding can be done with the help of
software or documentations. Electronic Encounter Form (EEF) charges and details the
procedure of patients visit and gives systematic approach. ICD-10-9CM is very useful as they
give the pathology details of diseases by American association that helps the patients to