EHR Task Category | Examples |
---|---|
Clerical | |
Administrative | Accessing patient demographics for telephone number before calling patient |
Billing and Coding | Assigning CPT and ICD-10 codes to encounter diagnosis/diagnoses |
Documentation | Typing into a progress note within any encounter type |
Order Entry | Placing an order for a medication, laboratory test, consultation or referral, durable medical equipment, others |
System Security | Logging in, logging out, secondary login to review psychiatric records |
Medical care | |
Chart Review-Imaging | Reviewing findings of a chest radiograph |
Chart Review-Laboratories | Reviewing cholesterol test results |
Chart Review-Medications | Reviewing medication list |
Chart Review-Notes | Reviewing an encounter note from office visit, urgent care, emergency department |
EBM, Point of Care | Accessing an evidence-based resource available through an EHR link, such as UpToDate |
Problem List | Reviewing or editing the active problem list |
Inbox | |
Refills and Results Management | Refilling medications; interpreting new laboratory and imaging results |
Letter Generation | Developing a letter to patient |
MyChart Portal | Responding to a patient’s question about a medication through asynchronous e-mail–type dialog |
Telephone Call | Addressing an incoming telephone call or generating an outgoing telephone call encounter |
CPT= Current Procedural Terminology; EBM = evidence-based medicine; EHR = electronic health record; ICD-10 = International Classification of Diseases, 10th Revision.