How should the patient's understanding of the instructions be documented? How should the involvement of family members or caregivers in the patient's care be documented, with the patient's consent?

Patients who read their clinical notes via online patient portals ('open notes ... Growing numbers of patients can now access their clinical notes via online ... notes from appointments at your GP surgery. results of ... Viewing someone else's GP health record. Find out about accessing someone else's medical records ... The authors explore the tension between expressivity and structured clinical documentation, review methods for obtaining reusable data from clinical notes, and ... We find that simple probing methods are not able to meaningfully extract sensitive information from BERT trained over the MIMIC-III corpus of EHR. Oct 26, 2023 ... The study uses identified patient notes for training and testing models, which cannot be released given concerns of patient privacy. In order to view your test results, clinical visit notes, after-visit summaries, and other personal health information, you need to be enrolled in Bassett's ... 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 ... Purpose Built For Behavioral Health · Chart aware™ documentation that aligns with service lines, treatment plans, and client goals · Real-time audit support ... We propose that open notes may provide an important new strategy to strengthen patient autonomy and improve clinical outcomes without sacrificing professional ... The clinical record is an overall indicator of clinical and service quality, and serves as a basis for planning care and for service continuity.