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The process begins when a physician documents a patient's visit, including the diagnoses, treatments, and prescribed medications or recommended procedures. [4] This information is translated into standardized codes through medical coding, using the appropriate coding systems such as ICD-10-CM and Current Procedural Terminology (CPT). A medical ...
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Occupational and Environmental Medicine (OEM), previously called industrial medicine, [1] [a] is a board certified medical specialty under the American Board of Preventative Medicine that specializes in the prevention and treatment of work-related illnesses and injuries. [2] OEM physicians are trained in both clinical medicine and public health ...
The term template, when used in the context of word processing software, refers to a sample document that has already some details in place; those can (that is added/completed, removed or changed, differently from a fill-in-the-blank of the approach as in a form) either by hand or through an automated iterative process, such as with a software assistant.
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.
Microsoft Word allows creating both layout and content templates. A layout template is a style guide for the file styles. It usually contains a chapter which explains how to use the styles within the documents. A content template is a document which provides a table of contents. It might be modified to correspond to the user's needs.
Preventive maintenance checks and services (PMCS) in the United States Army or preventive maintenance inspections (PMI) in the United States Air Force are the checks, services, and maintenance performed before, during, and after any type of movement or before the use of all types of military equipment.
Corrective and preventive action (CAPA or simply corrective action) consists of improvements to an organization's processes taken to eliminate causes of non-conformities or other undesirable situations. It is usually a set of actions, laws or regulations required by an organization to take in manufacturing, documentation, procedures, or systems ...