How should referrals be documented in clinical notes? How should medication reconciliation be documented in clinical notes?

Oct 24, 2018 ... We have developed a deep learning algorithm, DeepTag, which automatically infers diagnostic codes from veterinary free-text notes. Apr 10, 2019 ... ClinicalBert outperforms baselines on 30-day hospital readmission prediction using both discharge summaries and the first few days of notes in the intensive ... Patients who read their clinical notes via online patient portals ('open notes ... Growing numbers of patients can now access their clinical notes via online ... The clinical record is an overall indicator of clinical and service quality, and serves as a basis for planning care and for service continuity. Apr 9, 2025 ... Our step-by-step guide will have you writing clinic notes way faster so you can get back your time — and your life outside your job ... Nov 18, 2020 ... People with Cancer Say Access to Their Clinical Notes Is Valuable ... A new federal rule mandates that all patients have electronic access to the ... Aug 19, 2024 ... It may someday be possible to use Large Language Models (LLM) to automatically read clinical notes in medical records and reliably and efficiently extract ... Our AI-powered voice recognition technology records key elements of the physician-patient encounter to interpret the information, accurately inputs a draft ... Request patient medical records online. You can use Patient Gateway, our secure, online portal for your health information. Clinical documentation improvement (CDI) is the process of reviewing medical record documentation for completeness and accuracy. CDI includes a review of ...