For continuity of care, ambulatory care providers are more likely to rely on the documentation found in the problem list. This is because the problem list provides a comprehensive overview of a patient's medical conditions and diagnoses, which is critical for ongoing outpatient services and ensures that all healthcare providers are aware of the patient's current and past health issues.

The primary objection to auto authentication of entries in a health record by the Joint Commission is that evidence cannot be provided that the physician actually reviewed and approved each report. This undermines the integrity and reliability of the health record, as it becomes difficult to verify that the entries were properly examined and validated by the appropriate healthcare professional.

In a completely computerized patient record system, special measures would be needed to guard against unauthorized use similar to those used for personal signature stamps in paper-based records. Electronic signatures, which are the digital equivalents of handwritten signatures, are used to authenticate electronic entries. Therefore, measures would be required to prevent unauthorized use of electronic signatures to ensure the authenticity and integrity of the records.