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It provides information for the continuation of care following discharge. [10] History and Physical - A History and Physical (H&P) note is a medical report that documents the current and past conditions of the patient. [11] Operative Note - The Operative Note is created immediately following a surgical or other high-risk procedure.
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 ...
External links to medical information Template parameters [Edit template data] This template prefers block formatting of parameters. Parameter Description Type Status QID QID Wikidata number Unknown suggested ICD11 ICD11 no description Unknown optional ICD10 ICD10 Note: ICD-10-CM has a separate parameter Unknown suggested ICD10CM ICD10CM no description Unknown optional ICD9 ICD9 no description ...
The electronic common technical document (eCTD) is an interface and international specification for the pharmaceutical industry to agency transfer of regulatory information. The specification is based on the Common Technical Document (CTD) format and was developed by the International Council for Harmonisation (ICH) Multidisciplinary Group 2 ...
Insert research field, if a published medical researcher notable_works Insert most notable works, if any, by title and year of publication; do not list all published works prizes Insert notable prizes, medals, and awards relevant to the medical profession, if any; place name of award in double brackets and give year and category of award
Continuity of Care Document (CCD) – a US specification for the exchange of medical summaries, based on CDA. Structured Product Labeling (SPL) – the published information that accompanies a medicine, based on HL7 Version 3; Clinical Context Object Workgroup (CCOW) – an interoperability specification for the visual integration of user ...
A central part of the openEHR specifications is the set of information models, known in openEHR as 'reference models'. [6] The models constitute the base information models for openEHR systems, and define the invariant semantics of the Electronic Health Record (EHR), EHR Extract, and Demographics model, as well as supporting data types, data structures, identifiers and useful design patterns.
In the U.S. the CDA standard is probably best known as the basis for the Continuity of Care Document (CCD) specification, based on the data model as specified by ASTM's Continuity of Care Record. The U.S. Healthcare Information Technology Standards Panel has selected the CCD as one of its standards. [citation needed]