Incorrect of course.
A database that is used nationwide is indeed a national data base.
And yes, the clerks all have access to it, because they have to, how do you think Mr Hospital IT Guy, that the data in the system is entered and retrieved?
All of your low level clerks have access to the health data files.
I am sorry reality offends you.
I'm not the least bit offended. I'm simply trying to educate the uninformed, you being one of them.
I'm sorry you're arguing a topic that you have no knowledge to argue. lol
Low level clerks doing manual data entry to the EMR? LOLOL
The transcription systems are automated now. The provider talks to his/her/its computer and the notes are automagically text-speech converted and entered into the record via HL7 transport. Lab results same thing - straight out of the instrumentation into the EMR via automated HL7 feed. Radiology imaging results same thing.
Manual data entry is rare and typically is only required after unplanned systems downtime, and even then most of the data is cached by front-end systems and waits for the EMR to come back online when automation takes back over.