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  2. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...

  3. Clinical coder - Wikipedia

    en.wikipedia.org/wiki/Clinical_coder

    Clinical coder. A clinical coder —also known as clinical coding officer, diagnostic coder, medical coder, or nosologist —is a health information professional whose main duties are to analyse clinical statements and assign standardized codes using a classification system. The health data produced are an integral part of health information ...

  4. Inpatient care - Wikipedia

    en.wikipedia.org/wiki/Inpatient_care

    Inpatient care. Inpatient care is the care of patients whose condition requires admission to a hospital. Progress in modern medicine and the advent of comprehensive out-patient clinics ensure that patients are only admitted to a hospital when they are extremely ill or have severe physical trauma. [1]

  5. Progress note - Wikipedia

    en.wikipedia.org/wiki/Progress_note

    Progress Notes are the part of a medical record where healthcare professionals record details to document a patient 's clinical status or achievements during the course of a hospitalization or over the course of outpatient care. [1] Reassessment data may be recorded in the Progress Notes, Master Treatment Plan (MTP) and/or MTP review.

  6. Epic Systems - Wikipedia

    en.wikipedia.org/wiki/Epic_Systems

    Number of employees. 13,000 (2023) [3] Website. www.epic.com. Epic Systems Corporation (commonly known as Epic) is an American privately held healthcare software company. According to the company, hospitals that use its software held medical records of 78% of patients in the United States and over 3% of patients worldwide in 2022.

  7. University of Illinois Hospital & Health Sciences System

    en.wikipedia.org/wiki/University_of_Illinois...

    The eight-story inpatient facility provides patient care services from primary care through and including transplantation, with a medical staff in a variety of specialties. In 1999, the 245,000-square-foot (22,800 m 2 ) Outpatient Care Center (OCC) opened with a fully computerized medical record system, allowing patient records to be accessible ...