![]() Past and current information used in the evaluation process by the physician part of the medical recordįorecast of the outcome of a disease or injuryĬommon paper-based medical record management system that arranges documents according to sections ![]() ![]() Physician requesting non-physician services for a patient (e.g., diagnostic laboratory tests, pharmaceutical drugs, or durable medical equipment) Periodic examination or review of patient records to verify recordkeeping, documentation for level of service billed, and proper medical careĭetermination of the nature of a disease or injury Written or graphic information documenting facts and events during the rendering of patient care One-page lists, charts, and graphs that allow the physician to quickly find medical information and perform comparative evaluations used for medical data that is hard to track in narrative progress notesĪbbreviation for subjective complaints, objective findings, assessment of status to obtain diagnosis and implement a treatment plan a method of structuring progress or chart notesĬlinical record of the findings of physical and chemical analysis of specimens Permanent, legal document in letter or report format formally stating the elements performed and results of an examination and treatment of a patient The main reason why a patient is being seen in the medical office ![]() Written observations made at examinations of a patient subsequent to an initial examination It provides a network to exchange medical data between health facilities to improve health data quality.Chapter 9 Communication Human Relations QuestionĪny indication of disease or disorder that is perceived or experienced by the patient usually described in subjective terms, for example, depressed, confused, experiencing pain, or tired FHIR Stack is a key step in improving the enterprise’s healthcare service. The blueprint core team implements a unified solution throughout the enterprise to achieve a flexible business model that meets the customers’ demands with highly reduced cost and greatly improved efficiency.įHIR Stack allows to build high available complete data with the collection, exchanging and management of data provided between healthcare providers with real-time communication throughout clinic and business workflows in a powerful, secure, and effective manner. The complex nature of healthcare services, which have preserved their dynamism throughout their lives, needs the most appropriate solution to improve the services they provide.įHIR Stack helps regulators, healthcare providers, healthcare professionals, health insurance providers, pharmacies and individuals manage complexity of healthcare business needs using cost-effective, usable, and maintainable enterprise solutions.
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