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Description

Determination of which contributing factor(s) related to health information technology are known.

On-Screen Instructions

Select all that apply.

Field Type

Checkbox (multiselect)

Responses

IVR (Integrated voice response)

[Definition goes here.]

Includes

Excludes

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Bar-coding

[Definition goes here.]

Includes

Excludes

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Electronic prescribing

[Definition goes here.]

Includes

Excludes

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Integrated health record (including EHR/EMR)

[Definition goes here.]

Includes

Excludes

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Robot or autofill system

[Definition goes here.]

Includes

Excludes

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Patient profile incomplete or inaccurate

[Definition goes here.]

Includes

Excludes

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Software

[Definition goes here.]

Includes

Excludes

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Telepharmacy

[Definition goes here.]

Includes

Excludes

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Other (please describe)

[Definition goes here.]

Includes

Excludes

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Guide for Use

If “Other” is selected, a text box for a description will also appear.

History

Start Date

2006

End Date

n/a

Change History

2013: PSRP implementation

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