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By 1963, a new structural system of framed tubes had appeared in skyscraper design and construction. Fazlur Rahman Khan, a structural engineer from Bangladesh (then called East Pakistan) who worked at Skidmore, Owings & Merrill, defined the framed tube structure as "a three dimensional space structure composed of three, four, or possibly more frames, braced frames, or shear walls, joined at or ...
Framed tubes allow fewer interior columns, and so create more usable floor space. The bundled tube structure is more efficient for tall buildings, lessening the penalty for height. The structural system also allows the interior columns to be smaller and the core of the building to be free of braced frames or shear walls that use valuable floor ...
The European Committee for Standardization Standard Architecture for Healthcare Information Systems (ENV 12967), Health Informatics Service Architecture or HISA is a standard that provides guidance on the development of modular open information technology (IT) systems in the healthcare sector. Broadly, architecture standards outline frameworks ...
Evidence-based design (EBD) was popularized by the seminal study by Ulrich (1984) that showed the impact of a window view on patient recovery. [3] Studies have since examined the relationships between design of the physical environment of hospitals with outcomes in health, the results of which show how the physical environment can lower the incidence of nosocomial infections, medical errors ...
The Clinical Care Classification System was developed from a research study conducted by Dr. Virginia K. Saba and a research team through a contract with the Health Care Financing Agency (HCFA), [24] currently known as the Centers for Medicare and Medicaid Services (CMS). The objective was to develop a computerized method for assessing and ...
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Continuity of Care Document - The Continuity of Care Document (CCD) represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. The primary use case for the CCD is to provide a snapshot in time containing the germane ...
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