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• Clinical documentation improvement
  == Clinical Documentation Improvement == '''Clinical Documentation Improvement''' (''pronunciation: klin-i-kəl dä-kyü-mən-'tā-shən im-'p
  3 KB (349 words) - 22:02, 13 February 2024
• Documentation
  == Documentation (Medicine) == '''Documentation''' (pronunciation: /ˌdɒkjʊmɛnˈteɪʃən/) in the field of medicine ref
  2 KB (298 words) - 04:47, 7 February 2024
• Systematized Nomenclature of Medicine
  ...ges, that provides codes, terms, synonyms and definitions used in clinical documentation and reporting. SNOMED is considered to be the most comprehensive, multiling * [[Clinical Terms]]: Clinical terms are the specific terms used in clinical documentation and reporting. They are a key component of SNOMED.
  2 KB (215 words) - 21:42, 14 February 2024
• GNU FDL
  ...ated as '''GNU FDL''' or simply '''GFDL''') is a copyleft license for free documentation, designed by the [[Free Software Foundation]] (FSF) for the [[GNU Project]] ...Documentation License''', indicating that the license is intended for free documentation.
  2 KB (247 words) - 03:59, 8 February 2024
• Amend
  ...commonly used in the medical field, particularly in the context of medical documentation and health records. It refers to the process of making changes or correctio ...: This term refers to the act of making changes or alterations. In medical documentation, it can refer to the process of updating or altering existing records to re
  2 KB (270 words) - 21:52, 3 February 2024
• Reporting
  ...nciation: /rɪˈpɔːtɪŋ/) in the context of medicine refers to the systematic documentation of patient health information, clinical findings, and medical procedures. I * '''[[Clinical Reporting]]''': This involves the documentation of a patient's clinical history, physical examination findings, and the res
  2 KB (275 words) - 22:59, 5 February 2024
• Table
  === In Medical Documentation === In medical documentation, a '''table''' is a means of arranging data in rows and columns. The use of
  2 KB (248 words) - 06:31, 4 February 2024
• Medical photography
  ...tions, procedures, and medical devices. It is used extensively in clinical documentation, research, and education. ...a wide range of applications in modern medicine. It is used in [[clinical documentation]], [[medical research]], [[medical education]], and patient communication.
  2 KB (269 words) - 04:19, 11 February 2024
• Note
  ...tion, observations, and treatment plans. It is a crucial part of [[medical documentation]] and [[patient care]]. ...acronym for Subjective, Objective, Assessment, and Plan. It is a method of documentation employed by healthcare providers to write out notes in a patient's chart.
  2 KB (253 words) - 21:11, 3 February 2024
• Recorded
  * [[Medical Documentation]]: The systematic documentation of a patient's medical history and care. It is an important aspect of the h * [[Clinical Documentation Improvement]]
  2 KB (222 words) - 14:07, 5 February 2024
• Address
  * [[Medical record keeping]]: The systematic documentation of a patient's medical history and care. * [[Medical documentation]]
  1 KB (137 words) - 21:17, 4 February 2024
• SOAP note
  ...onym for '''Subjective, Objective, Assessment, and Plan''') is a method of documentation employed by healthcare providers to write out notes in a patient's chart, a The SOAP note is a structured method of documentation that healthcare providers use to record a patient's visit or encounter. It
  2 KB (227 words) - 03:49, 8 February 2024
• Progress note
  * '''[[SOAP Note]]''': A method of documentation employed by healthcare providers to write out notes in a patient's chart, a * [[Clinical Documentation]]
  2 KB (273 words) - 23:56, 8 February 2024
• Text
  * [[Medical Record]]: A systematic documentation of a patient's medical history and care. * [[Clinical Documentation]]
  2 KB (240 words) - 21:54, 3 February 2024
• Medical Record (journal)
  ...sician" and "recordari" meaning "to remember". It refers to the systematic documentation of a patient's medical history and care. * [[Medical Documentation]]
  1 KB (166 words) - 02:18, 12 February 2024
• Annotation
  * [[Clinical Documentation]]: Involves the recording of a patient's health status in a medical record. [[Category:Medical Documentation]]
  1 KB (177 words) - 22:56, 5 February 2024
• Rape kit
  ...egation of sexual assault. The kit contains tools such as swabs, bags, and documentation forms. * [[Documentation form]]s for recording the examination, detailing the assault, and maintaini
  2 KB (271 words) - 03:52, 8 February 2024
• Burns Archive
  ...ography]]: A specialized area of photography that concerns itself with the documentation of the clinical presentation of patients, medical and surgical procedures, ...graphy]]: This refers to the use of photography as a medium for historical documentation and research. It includes a wide range of genres and methods, from document
  2 KB (205 words) - 22:48, 8 February 2024
• Templates
  ...in [[surgical procedures]] as guides for cutting or shaping. In [[medical documentation]], templates are used to standardize the format and content of patient reco * [[Medical Documentation]]: The process of creating and maintaining records of patient care, includi
  1 KB (201 words) - 23:19, 5 February 2024
• File
  * [[Medical Record]]: A systematic documentation of a patient's medical history and care. * [[Medical Documentation]]
  2 KB (207 words) - 21:34, 3 February 2024

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