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  2. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    SOAP note. The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient 's chart, along with other common formats, such as the admission note. [1][2] Documenting patient encounters in the medical record is an integral part of practice ...

  3. Consolidated Clinical Document Architecture - Wikipedia

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

    The HL7 Consolidated Clinical Document Architecture (C-CDA) is an XML -based markup standard which provides a library of CDA formatted documents. Clinical documents using the C-CDA standards are exchanged billions of times annually in the United States. [1][2][3] All certified Electronic health records in the United States are required to ...

  4. Medical guideline - Wikipedia

    en.wikipedia.org/wiki/Medical_guideline

    Medical guideline. A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare. Such documents have been in use for thousands of years during the ...

  5. Clinical decision support system - Wikipedia

    en.wikipedia.org/wiki/Clinical_decision_support...

    1. **Knowledge Base**: Contains medical guidelines, protocols, best practices, and clinical rules. 2. **Patient Data Interface**: Integrates with electronic health records (EHR) systems to access patient demographics, medical history, test results, and current medications. 3.

  6. Medical Priority Dispatch System - Wikipedia

    en.wikipedia.org/wiki/Medical_Priority_Dispatch...

    Each dispatch determinant is made up of three pieces of information, which builds the determinant in a number-letter-number format. The first component, a number from 1 to 36, indicates a complaint or specific protocol from the MPDS: the selection of this card is based on the initial questions asked by the emergency dispatcher.

  7. Clinical trial - Wikipedia

    en.wikipedia.org/wiki/Clinical_trial

    The protocol contains a precise study plan to assure safety and health of the trial subjects and to provide an exact template for trial conduct by investigators. This allows data to be combined across all investigators/sites. The protocol also informs the study administrators (often a contract research organization). [citation needed]

  8. ABC (medicine) - Wikipedia

    en.wikipedia.org/wiki/ABC_(medicine)

    ABC (medicine) ABC and its variations are initialism mnemonics for essential steps used by both medical professionals and lay persons (such as first aiders) when dealing with a patient. In its original form it stands for Airway, Breathing, and Circulation. [1] The protocol was originally developed as a memory aid for rescuers performing ...

  9. IEEE 11073 service-oriented device connectivity - Wikipedia

    en.wikipedia.org/wiki/IEEE_11073_service...

    The IEEE 11073 service-oriented device connectivity (SDC) family of standards defines a communication protocol for point-of-care (PoC) medical devices. The main purpose is to enable manufacturer-independent medical device-to-device interoperability. [1][2] Furthermore, interconnection between medical devices and medical information systems is ...