Search results
Results from the WOW.Com Content Network
For example, consider a database of electronic health records. Such a database could contain tables like the following: A doctor table with information about physicians. A patient table for medical subjects undergoing treatment. An appointment table with an entry for each hospital visit. Natural relationships exist between these entities:
CDA can hold any kind of clinical information that would be included in a patient's medical record; examples include: [1] Discharge summary (following inpatient care) History & physical; Specialist reports, such as those for medical imaging or pathology
It records the pre- and post-surgical diagnosis, pertinent events of the procedure, as well as the condition of the patient following the procedure. [ 12 ] Procedure Note - Procedure Notes are differentiated from Operative Notes because they do not involve incision or excision as the primary act.The Procedure Note is created immediately ...
The public library is relatively limited of reference CCDs available for developers to examine how to encode medical data using the structure and format of the CCD. Not surprisingly, different electronic health record vendors have implemented the CCD standard in different and often incompatible ways. [5]
Grouping Qualifiers are used to group together a collection of observations within the same domain. Examples include—CAT and—SCAT. Result Qualifiers describe the specific results associated with the topic variable for a finding. It is the answer to the question raised by the topic variable. Examples include—ORRES, --STRESC, and—STRESN.
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.
Sample view of an electronic health record. An electronic health record (EHR) also known as an electronic medical record (EMR) or personal health record (PHR) is the systematized collection of patient and population electronically stored health information in a digital format. [1] These records can be shared across different health care settings.
The Sync for Science (S4S) profile builds on FHIR to help medical research studies ask for (and if approved by the patient, receive) patient-level electronic health record data. [ 18 ] In January, 2018, Apple announced that its iPhone Health App would allow viewing a user's FHIR-compliant medical records when providers choose to make them ...