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In medicine, a case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient. Case reports may contain a demographic profile of the patient, but usually describe an unusual or novel occurrence. Some case reports also contain a literature review of other reported cases.
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The operative report is dictated right after a surgical procedure and later transcribed into the patient's record. The operative report includes preoperative and postoperative diagnoses, patient condition after surgery, all medications used in association with the procedure, pertinent medical history (Hx) , physical examination (PE), consent ...
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.
The World health report 2003 examined the global health situation and some of the major threats to health. The report advocated that major improvements in health for all were within reach, and that progress depended on collaboration among governments, international institutions, the private sector and civil society to build stronger health systems.
CDA specifies the syntax and supplies a framework for specifying the full semantics of a clinical document, defined by six characteristics: [2] Persistence; Stewardship; Potential for authentication; Context; Wholeness; Human readability; CDA can hold any kind of clinical information that would be included in a patient's medical record ...
The U.S. Healthcare Information Technology Standards Panel has selected the CCD as one of its standards. [citation needed] CCDs are quickly becoming one of the most ubiquitous and thorough means of transferring health data on patients as each can contain vast amounts of data based on the standard format, in a relatively easy to use and portable ...
70% of global health and social care workers are women, 30% of leaders in the global health sector are women. The healthcare workforce comprises a wide variety of professions and occupations who provide some type of healthcare service, including such direct care practitioners as physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, dentists, pharmacists, speech ...