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Electronic Health Record

Digital, longitudinal record of patient health information used across encounters and care settings.

Also: EHR, EMR

EHRs replace and extend paper charts, supporting structured documentation, decision support, e-prescribing, and quality reporting. RDNs use the EHR for nutrition screening triggers, ADIME notes with NCPT-coded terms, and tracking outcomes. Interoperability across systems remains an ongoing challenge.

How one textbook covers it

  • Krause and Mahan's Food and the Nutrition Care Process, 16th ed. — Chapter 9

    EHRs replace and extend paper charts, supporting structured documentation, decision support, e-prescribing, and quality reporting. RDNs use the EHR for nutrition screening triggers, ADIME notes with NCPT-coded terms, and tracking outcomes. Interoperability across systems remains an ongoing challenge.

Related terms

ADIME, HIPAA, Personal Health Record