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AMA Manual of Style: A Guide for Authors and Editors is the style guide of the American Medical Association. It is written by the editors of JAMA ( Journal of the American Medical Association ) and the JAMA Network journals and is most recently published by Oxford University Press .
AMA Manual of Style: A Guide for Authors and Editors, by the Journal of the American Medical Association (JAMA) The American Sociological Association Style Guide, by the American Sociological Association; The CSE Manual: Scientific Style and Format for Authors, Editors, and Publishers, by the Council of Science Editors (CSE) [13]
Nursing documentation is the record of nursing care that is planned and delivered to individual clients by qualified nurses or other caregivers under the direction of a qualified nurse. It contains information in accordance with the steps of the nursing process. Nursing documentation is the principal clinical information source to meet legal ...
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 ...
Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]
[[Category:Documentation templates]] to the <includeonly> section at the bottom of that page. Otherwise, add <noinclude>[[Category:Documentation templates]]</noinclude> to the end of the template code, making sure it starts on the same line as the code's last character.
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The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. 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.
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