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Progress Note - This template represents a patient's clinical status during a hospitalization, outpatient visit, treatment with a LTPAC provider, or other healthcare encounter. [ 14 ] Transfer Summary - The Transfer Summary standardizes critical information for exchange of information between providers of care when a patient moves between ...
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]
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 ...
The CCD specification is a constraint on the HL7 Clinical Document Architecture (CDA) standard. The CDA specifies that the content of the document consists of a mandatory textual part (which ensures human interpretation of the document contents) and optional structured parts (for software processing).
Currently, the portal contains more than 20.000 forms with more than 350.000 active data elements, making it Europe’s largest open-access portal for medical forms (March 2019). Available forms are: clinical research forms (Case Report Forms, Register-Items), routine documentation (e. g. EHR-forms) and quality assurance (e.g. data from the ...
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 ...
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