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mentation, and more details are expected to be completed for a second and third
phase in 2011 and 2012, leading up to the 2015 deadline (DHHS, 2010).
COMPONENTS
Overview
Before the ARRA there were several definitions of EHRs, each with its own termi-
nology and developed with a different audience in mind. The sources ranged from
the federal government (Certification Commission for Healthcare Information
Technology, 2007); the IOM (2003); the HIMSS (2007); and the National
Institutes of Health (Robert Wood Johnson [RWJ], 2006). Under ARRA, there is
now an explicit requirement for providers and hospitals to use a certified EHR
that meets ...