Support Clinical Documentation

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

Standard assessments, guidelines and prompts are provided to facilitate decision support for the optimization of patient care based on specific medical conditions. @en
Provider support is offered for the consideration of issues that would help assure optimal patient management. These may include standard assessments, care plans and treatment protocols, with triggers and prompts to assist during the patient encounter. Recommendation for patient testing and follow-up is also included along with decision support for patient self-management of a condition between patient-provider encounters. @en

inverse relations

hito:Cis2FeatSupportOfClinicalDocumentation
↪ Support of clinical documentation

hito:ElexisFeatVerlaufKonsultationen
↪ Verlauf Konsultationen

hito:OpenEObsFeatureRecordObservationsOfPatients
↪ record observations of patients

hito:OpenEmrFeatSoap
↪ SOAP note

hito:OpenEyesFeatDocumentPatientExamination
↪ document a patient examination, investigation or procedure

hito:OpenEyesFeatDocumentTheAppearanceOfTheEye
↪ document the appearance of the eye

hito:OpenEyesFeatEntryOfInformationOperations
↪ entry of information for a range of operations
hito:EhrSfmCaptureGuidelinesAndStandardsFromExternalSources
↪ Capture Guidelines and Standards from External Sources

hito:EhrSfmClinicalDecisionSupportSystemGuidelinesUpdates
↪ Clinical Decision Support System Guidelines Updates

hito:EhrSfmManageDocumentationOfClinicianResponseToDecisionSupportPrompts
↪ Manage Documentation of Clinician Response to Decision Support Prompts

hito:EhrSfmManageHealthInformationRecordQuality
↪ Manage Health Information Record Quality

hito:EhrSfmSupportForContextSensitiveCarePlansGuidelinesProtocols
↪ Support for Context- Sensitive Care Plans, Guidelines, Protocols

hito:EhrSfmSupportForIdentificationOfPotentialProblemsAndTrends
↪ Support for Identification of Potential Problems and Trends

hito:EhrSfmSupportForPatientContextdrivenAssessments
↪ Support for Patient Context-Driven Assessments

hito:EhrSfmSupportForResearchProtocolsRelativeToIndividualPatientCare
↪ Support for Research Protocols Relative to Individual Patient Care

hito:EhrSfmSupportForStandardAssessments
↪ Support for Standard Assessments

hito:EhrSfmSupportForStandardCarePlansGuidelinesProtocols
↪ Support for Standard Care Plans, Guidelines, Protocols

hito:EhrSfmSupportOtherEncounterAndEpisodeOfCareDocumentation
↪ Support Other Encounter and Episode of Care Documentation

hito:EhrSfmSupportSelfcare
↪ Support Self-Care
hito:BbProvideFormsForEnteringClinicalDataFreetextOrStructured
↪ Provide forms for entering clinical data (free-text or structured)