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A commenter noted that most REHs operate with scaled-back electronic medical record (EMR) systems that are not designed to capture this data without costly customization and expressed concern that the reporting requirement would risk diverting scarce financial and human resources away from patient care

You can switch between these storage methods as long as the total time since first use does not exceed 56 days, and the pen has not been frozen or exposed to temperatures outside the recommended range

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