Data Abstraction
Providing electronic records for electronic
Converting paper records to electronic records efficiently with a cost effective secure interface
Contact information – Name, address, telephone number
Demographic information - date of birth, sex, race/ethnicity
Demographics, alternate contact, and chief complaint
Symptoms - Describe how the patient feels
History and physical
Symptoms and physical exam
Includes measures like temperature, blood pressure, weight
Laboratory information
Consultant notes
Disposition and treatment plan