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  2. Continuity of Care Record - Wikipedia

    en.wikipedia.org/wiki/Continuity_of_Care_Record

    Continuity of Care Record (CCR) [1] is a health record standard specification developed jointly by ASTM International, the Massachusetts Medical Society (MMS), the Healthcare Information and Management Systems Society (HIMSS), the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), and other health informatics vendors.

  3. Health information management - Wikipedia

    en.wikipedia.org/wiki/Health_information_management

    Health information management's standards history is dated back to the introduction of the American Health Information Management Association, founded in 1928 "when the American College of Surgeons established the Association of Record Librarians of North America (ARLNA) to 'elevate the standards of clinical records in hospitals and other medical institutions.'" [3]

  4. Continuity of Care Document - Wikipedia

    en.wikipedia.org/wiki/Continuity_of_Care_Document

    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]

  5. From passwords to medical records,10 things to never say to ...

    www.aol.com/passwords-medical-records-10-things...

    Medical or health data: AI isn’t Health Insurance Portability and Accountability Act-compliant, so redact your name and other identifying info if you ask AI for health advice. Your privacy is ...

  6. Incident report - Wikipedia

    en.wikipedia.org/wiki/Incident_report

    In a health care facility, such as a hospital, nursing home, or assisted living, an incident report or accident report is a form that is filled out in order to record details of an unusual event that occurs at the facility, such as an injury to a patient.

  7. Operative report - Wikipedia

    en.wikipedia.org/wiki/Operative_report

    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 ...

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