Doctors Say Narrative Missing from Proposed EHR Regulations
Physicians are pushing the federal Health & Human Services Department to include physician narratives in the proposed regulations for electronic health records. Doctors use the narrative to expand on an assessment and offer subjective and objective evaluations of a case, as well as outline the treatment plan. Some doctors use speech recognition technology for their narratives in EHR systems. The public has 60 days to comment on the HHS regulations.
"No matter how good [EHR records] are, you'll never get the flavored nuance of the patient's [situation] if you don't have an unstructured note," said Dr. Steven Schiff, the medical director and service chief of cardiology at Orange Coast Memorial Medical Center, in Fountain Valley, Calif., in aneWEEK interview.