Abstraction is used to summarize vital information in a patient’s medical record. It is key to transitioning to a paperless medical practice. The process of abstraction takes all forms of the medical records and converts them to digital format.
What Is Medical Data Abstraction?
When you migrate to a paperless medical practice, you will combine historical records with digital information into an electronic health record (EHR).
How Abstraction Works—the Process
Medical data abstraction requires manual data entry of relevant data that isn’t collected electronically. It is entered into pre-defined fields so that everyone who needs the data has access to it.
Medical Data to Abstract
The data that is abstracted includes family medical history, allergies, immunizations, current medications, growth charts, demographics, and historical procedures.
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