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2. LOINC - Wikipedia

   en.wikipedia.org/wiki/LOINC

   LOINC. Logical Observation Identifiers Names and Codes (LOINC) is a database and universal standard for identifying medical laboratory observations. First developed in 1994, it was created and is maintained by the Regenstrief Institute, a US nonprofit medical research organization. LOINC was created in response to the demand for an electronic ...

3. Consolidated Clinical Document Architecture - Wikipedia

   en.wikipedia.org/wiki/Consolidated_Clinical...

   Continuity of Care Document - The Continuity of Care Document (CCD) represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. The primary use case for the CCD is to provide a snapshot in time containing the germane ...

4. Clinical Care Classification System - Wikipedia

   en.wikipedia.org/wiki/Clinical_Care...

   Clinical Care Classification System. The Clinical Care Classification (CCC) System is a standardized, coded nursing terminology that identifies the discrete elements of nursing practice. The CCC provides a unique framework and coding structure. Used for documenting the plan of care; following the nursing process in all health care settings.

5. Continuity of Care Document - Wikipedia

   en.wikipedia.org/wiki/Continuity_of_Care_Document

   The patient summary contains a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to ...

6. Minimum Data Set - Wikipedia

   en.wikipedia.org/wiki/Minimum_Data_Set

   The Minimum Data Set (MDS) is part of the U.S. federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes and non-critical access hospitals with Medicare swing bed agreements. (The term "swing bed" refers to the Social Security Act's authorizing small, rural hospitals to use their beds in ...

7. Fast Healthcare Interoperability Resources - Wikipedia

   en.wikipedia.org/wiki/Fast_Healthcare...

   Website. fhir.org. The Fast Healthcare Interoperability Resources (FHIR, / faɪər /, like fire) standard is a set of rules and specifications for exchanging electronic health care data. It is designed to be flexible and adaptable, so that it can be used in a wide range of settings and with different health care information systems.

8. Healthcare Effectiveness Data and Information Set - Wikipedia

   en.wikipedia.org/wiki/Healthcare_Effectiveness...

   HEDIS 2006 Volume 2: Technical Specifications. The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other ...

9. Medical record - Wikipedia

   en.wikipedia.org/wiki/Medical_record

   The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care. An increasing purpose of the medical record is to ensure documentation of compliance with institutional, professional or governmental regulation.