Manage Clinical Documentation

http://hitontology.eu/ontology/EhrSfmManageClinicalDocumentation an entity of type: FeatureClassified

Clinical Documentation must be managed including the capture of the documentation during an encounter, maintenance and appropriate rendering. @en
Clinical documentation includes all documentation that the clinician may capture during the course of an encounter with the patient or relevant to the patient. This includes assessments, clinical measurements, clinical documents and notes, patient-specific care and treatment plans. Management of clinical documentation also includes the acknowledgement and amendments of documentation provided by other providers. @en

inverse relations

hito:CernerFirstNetPatientManagementPlans
↪ patient management plans

hito:Cis1FeatSupportOfIntegratedPatientCentredDocumentationForDifferentDisciplines
↪ Support of integrated patient centred documentation for different disciplines

hito:Cis1FeatSupportOfNursingDocumentation
↪ Support of nursing documentation

hito:Cis2FeatSupportOfClinicalDocumentation
↪ Support of clinical documentation

hito:Cis2FeatSupportOfNursingDocumentation
↪ Support of nursing documentation

hito:EDocFeatureCapturingDataForAllPatientVisits
↪ capturing data for all patient visits

hito:EclipsysContinuum2000CdsFeatureGraphicalUserInterfaceToDocumentCare
↪ graphical user interface to document care

hito:EclipsysContinuum2000CdsFeaturePointAndClickDataEntry
↪ point and click data entry

hito:HnaMilleniumFeatureNursingAnamnesis
↪ nursing anamnesis

hito:MetavisionFeatureClinicalDocumentation
↪ clinical documentation

hito:MetavisionFeatureDataStorageRepository
↪ data storage repository

hito:PikFeatureAnamnesisSupportedByOfferingFlexibleFormsForDataEntry
↪ anamnesis supported by offering flexible forms for data entry

hito:PikNursingDocumentationForms
↪ nursing documentation forms

hito:anamnesisSupportedByOfferingFlexibleFormsForDataEntry
↪ anamnesis supported by offering flexible forms for data entry

hito:capturingDataForAllPatientVisits
↪ capturing data for all patient visits

hito:clinicalDocumentation
↪ clinical documentation

hito:creationAndStorageOfNursingDiagnosesAndNursingOutcomes
↪ creation and storage of nursing diagnoses and nursing outcomes

hito:dataStorageRepository
↪ data storage repository

hito:graphicalUserInterfaceToDocumentCare
↪ graphical user interface to document care

hito:integrationOfPatientSpecificData
↪ integration of patient specific data

hito:nursingAnamnesis
↪ nursing anamnesis

hito:nursingDocumentationForms
↪ nursing documentation forms

hito:nursingEvaluation
↪ nursing evaluation

hito:patientManagementPlans
↪ patient management plans

hito:pointAndClickDataEntry
↪ point and click data entry

hito:real-timeDataEntering
↪ real-time data entering
hito:EhrSfmAcknowledgeamendOtherProviderDocumentation
↪ Acknowledge/Amend Other Provider Documentation

hito:EhrSfmConductAssessments
↪ Conduct Assessments

hito:EhrSfmManageClinicalDocumentsAndNotes
↪ Manage Clinical Documents and Notes

hito:EhrSfmManagePatientClinicalMeasurements
↪ Manage Patient Clinical Measurements

hito:EhrSfmManagePatientspecificCareAndTreatmentPlans
↪ Manage Patient-Specific Care and Treatment Plans
hito:FeatureClassified
↪ Feature Classified
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