The Change Records feature brings real-world clinical documentation practices into educational simulation. As students work within patient charts, every modification is tracked over simulation time, creating a complete audit trail that reflects professional Electronic Health Record documentation standards.
Previously, saved entries in EdEHR were locked and could not be edited. With Change Records enabled, students can amend a record without losing the original documentation, while maintaining full auditing that shows who made each change and when.
The system now:
The Change Records feature supports realistic, professional documentation workflows across multiple disciplines, including:
Learning through correction
Students can make mistakes and correct them in a structured, professional way, reinforcing accountability and proper amendment practices rather than silent overwrites.
Medication order lifecycle management
Medication orders can change status over simulation time, supporting future workflows such as modifying, holding, or discontinuing medications and reflecting realistic MAR management.
Medical laboratory quality control (Levey–Jennings)
Medical laboratory students can interact with Levey–Jennings charts and amend quality control results while preserving a complete audit trail of all changes.
Late and corrected charting
Students can formally amend documentation when information is incomplete or entered late, mirroring real clinical documentation standards.
Evolving assessments and care plans
Nursing assessments, care plans, and goals can be updated as patient conditions change, while earlier clinical reasoning remains visible.
Order clarification and correction
Supports amending orders after identifying issues such as incorrect dose, route, or frequency, reinforcing safe order verification practices.
Interprofessional handoffs
Enables documentation updates across roles or simulated shifts, with clear accountability for who made each change.