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Table 1 Fields for EMR usage assessed and their measures

From: Are family physicians comprehensively using electronic medical records such that the data can be used for secondary purposes? A Canadian perspective

 

EMR usage field

Measurea

Practice style independent fields

Visit documentation

Billings in the EMR for an office visit with a corresponding progress note entry on the same day

Blood pressure and weight recording

Blood pressure or weight recorded in the structured variable

Completeness of the Cumulative Patient Profile [CPP]

Populated allergies, immunizations, active treatment, risk factors, personal traits, family history and medical history [history of past health and problem list included together] fields

Practice style dependent fields

Laboratory test results provided through an electronic link.

At least one laboratory test

Using the EMR to generate and record prescriptions

At least one prescription

Using the EMR for generating referral letters from the family physician to the specialist

Entry in the EMR in the referral’s field

EMRs including specialist consultant reports.

Entry in the EMR in the specialist’s consulatation letter field

  1. aMeasures calculated as the mean percent for number of active rostered patients [rostered patients with completed fields for CPP measures] having the measure in a given year/the number of active rostered patients [rostered patients for CPP measures] in a given year