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  2. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    Nursing documentation mainly consists of a client's background information or nursing history referred as admission form, numerous assessment forms, nursing care plan and progress notes. These documents record the client's data captured at the relevant stages of the nursing process. [2] The following sections describe the concept, aim, possible ...

  3. Nursing care plan - Wikipedia

    en.wikipedia.org/wiki/Nursing_care_plan

    Nursing care plans provide continuity of care, safety, quality care and compliance. A nursing care plan promotes documentation and is used for reimbursement purposes such as Medicare and Medicaid. The therapeutic nursing plan is a tool and a legal document that contains priority problems or needs specific to the patient and the nursing ...

  4. On-premises software - Wikipedia

    en.wikipedia.org/wiki/On-premises_software

    Alfresco, an example of on-premises document management software An Example of on-premises software (MediaWiki). On-premises software (abbreviated to on-prem, and often written as "on-premise") [1] is installed and runs on computers on the premises of the person or organization using the software, rather than at a remote facility such as a server farm or cloud.

  5. 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.

  6. Point of care - Wikipedia

    en.wikipedia.org/wiki/Point_of_care

    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]

  7. List of academic databases and search engines - Wikipedia

    en.wikipedia.org/wiki/List_of_academic_databases...

    Furthermore, some programs are only partly free (for example, accessing abstracts or a small number of items), whereas complete access is prohibited (login or institutional subscription required). The "Size" column denotes the number of documents (articles, publications, datasets, preprints) rather than the number of citations or references.

  8. List of open-source health software - Wikipedia

    en.wikipedia.org/wiki/List_of_open-source_health...

    Continuity of Care Document; Fast Healthcare Interoperability Resources (FHIR) is a Health Level 7 interoperability specification that defines JSON and XML data formats and a RESTful API. [64] [65] It is available under the CC0 license. [66]

  9. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    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.

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