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Review
. 2018 May;102(3):475-483.
doi: 10.1016/j.mcna.2017.12.009.

The Electronic Health Record and the Clinical Examination

Helene F Hedian  1 , Jeremy A Greene  2 , Timothy M Niessen  3
Affiliations
Review

The Electronic Health Record and the Clinical Examination

Helene F Hedian et al. Med Clin North Am. 2018 May.

Abstract

This review examines how the adoption of the electronic health record (EHR) has changed the most fundamental unit of medicine: the clinical examination. The impact of the EHR on the clinical history, physical examination, documentation, and the doctor-patient relationship is described. The EHR now has a dominant role in clinical care and will be a central factor in clinical work of the future. Conversation needs to be shifted toward defining best practices with current EHRs inside and outside of the examination room.

Keywords: Clinical examination; Doctor-patient relationship; EHR; Electronic health record; History; Physical examination.

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