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An ICD is the umbrella document over the system interfaces; examples of what these interface specifications should describe include: The inputs and outputs of a single system, documented in individual SIRS (Software Interface Requirements Specifications) and HIRS (Hardware Interface Requirements Specifications) documents, would fall under "The Wikipedia Interface Control Document".
Infobox for hospitals, worldwide from large to small. Formats a right-side infobox to display many data items about a hospital, with the typical labels listed down the left side, and the corresponding data values on the right side of the box. Template parameters [Edit template data] This template prefers block formatting of parameters. Parameter Description Type Status Name name Name The ...
The CCD specification is a constraint on the HL7 Clinical Document Architecture (CDA) standard. The CDA specifies that the content of the document consists of a mandatory textual part (which ensures human interpretation of the document contents) and optional structured parts (for software processing).
The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.
{{Navbox documentation}}, a variant of {{Documentation}} for use with navigation templates. Wikipedia:Template documentation is a how-to guide to template documentation. Wikipedia:Template sandbox and test cases explains the use of /sandbox and /testcases subpages and includes more information about template testing.
The terms EHR, electronic patient record (EPR), and electronic medical record (EMR) have often been used interchangeably, but "subtle" differences exist. [6] The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations.
The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.
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 ...