TABLE 1.

EHR focus areas and data elements assessed for quality during manual chart review

EHR focus areas	Included data elements
Demographics/visit details	Patient sex Patient zip code Visit start date and time Visit end date and time Encounter type	Encounter status Rendering provider Hospital name Emergency physician group Medical record number
Insurance information	Insurance company Insurance plan Effective date	Expiration date Documentation date
Visit diagnosis	Diagnosis code	Diagnosis description
Problem history	Documentation date Resolution date	Practice code Practice description
Laboratory results	Result date and time Practice code Practice description	Result value Reference range
Medications	Medication name Medication route Medication dose	Medication start date and time Medication stop date and time
Social history	Social history type Documentation date	Effective start date and time Effective stop date and time

Abbreviation: EHR, electronic health record.