Manage Clinical Documentation

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

rdfs:comment

Clinical Documentation must be managed including the capture of the documentation during an encounter, maintenance and appropriate rendering. @en

skos:definition

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

hito:fClaFrom	hito:EhrSfmFeatureCatalogue ↪ HL7 EHR-S FM Feature Catalogue
hito:internalId	CP.3 xsd:string
hito:subFeatureOf	hito:EhrSfmCareProvision ↪ Care Provision
rdf:type	hito:FeatureClassified ↪ Feature Classified
rdfs:label	Manage Clinical Documentation @en

inverse relations

is hito:fCitClassifiedAs of	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
is hito:subFeatureOf of	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
is vann:example of	hito:FeatureClassified ↪ Feature Classified