Operative notes contain essential details of surgical procedures and are an important form of clinical documentation. Sections within operative notes segment provide high level note …
Fairview Health Services is an affiliated integrated health system partnering with the University of Minnesota to establish a secure research-oriented clinical data repository that includes …
The healthcare landscape is changing, driven by innovative care models and the emergence of new roles that are inter-professional in nature. Currently, the HL7/LOINC Document …
Within clinical discourse, social history (SH) includes important information about substance use (alcohol, drug, and nicotine use) as key risk factors for disease, disability, and …
Within clinical discourse, social history (SH) includes important information about substance use (alcohol, drug, and nicotine use) as key risk factors for disease, disability, and …
Within clinical discourse, social history (SH) includes important information about substance use (alcohol, drug, and nicotine use) as key risk factors for disease, disability, and …
Social and individual behavioral factors play an important role in diagnosis, prevention, heal outcomes, and quality of life. As defined by the World Health Organization, …
Given federal mandates recommending document standards, increasing numbers of electronic clinical documents being created, and local initiatives/projects using clinical documents, there is a growing need …
Objective: To integrate data elements from multiple sources for informing comprehensive and standardized collection of family health history (FHH). Materials and methods: Three types of …
The debate regarding potential negative health effects of electronic nicotine delivery systems (ENDS), which include electronic cigarettes, has received much attention. Currently, it is unknown …
Surgical clinical research often utilizes information within operative notes including data about the supplies, tools, and techniques used for a given procedure. We have previously …
