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  2. List of charting software - Wikipedia

    en.wikipedia.org/wiki/List_of_charting_software

    EditGrid – web-based spreadsheet with charting capabilities; Google Sheets – Online spreadsheet with built-in charting function for basic chart types; KChart – the charting tool of the Calligra Suite; LibreOffice Calc - Built-in charting function for basic chart types; Microsoft Excel – Built-in charting function for basic chart types

  3. Consolidated Clinical Document Architecture - Wikipedia

    en.wikipedia.org/wiki/Consolidated_Clinical...

    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 ...

  4. Continuity of Care Document - Wikipedia

    en.wikipedia.org/wiki/Continuity_of_Care_Document

    In the opinion of HL7 and its members, the CDA CCD combines the benefits of ASTMs Continuity of Care Record (CCR) and the HL7 Clinical Document Architecture (CDA) specifications. It is intended as an alternate implementation to the one specified in ASTM ADJE2369 for those institutions or organizations committed to implementation of the HL7 ...

  5. Charting application - Wikipedia

    en.wikipedia.org/wiki/Charting_application

    A charting application is a computer program that is used to create a graphical representation (a chart) based on some non-graphical data that is entered by a user, most often through a spreadsheet application, but also through a dedicated specific scientific application (such as through a symbolic mathematics computing system, or a proprietary data collection application), or using an online ...

  6. Clinical Document Architecture - Wikipedia

    en.wikipedia.org/wiki/Clinical_Document_Architecture

    The HL7 Clinical Document Architecture (CDA) is an XML-based markup standard intended to specify the encoding, structure and semantics of clinical documents for exchange. In November 2000, HL7 published Release 1.0.

  7. Progress note - Wikipedia

    en.wikipedia.org/wiki/Progress_note

    Physicians are generally required to generate at least one progress note for each patient encounter. Physician documentation is then usually included in the patient's chart and used for medical, legal, and billing purposes. Nurses are required to generate progress notes on a more frequent basis, depending on the level of care and may be ...