What are some common phrases or terms to avoid in clinical notes due to ambiguity or potential for misinterpretation?

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Explainable automated medical coding through attention-based deep learning. The model highlights key words and sentences for each code/label. Nov 1, 2024 ... This service extracts key Fast Healthcare Interoperability Resources (FHIR) entities from unstructured clinical notes and creates structured ... ... clinical social workers generate accurate and professional progress notes and clinical notes quickly. You can provide the Mental Note Assistant with high ... The authors explore the tension between expressivity and structured clinical documentation, review methods for obtaining reusable data from clinical notes, and ... SoftDent contains three types of clinical notes. You can record clinical notes from the following tabs in the Chart for window. Experience speech-driven clinical documentation with secure, comprehensive support from pre-charting to post-encounter. Mar 31, 2025 ... Covers how to access and share personal, health, and medical records online, including Joint Health Information Exchange. Review the supervisee's progress notes, process notes, and other patient treatment records, as deemed appropriate by the supervisor. • With the client's ... Jul 7, 2020 ... A short story from The New York Times Magazine's Decameron Project. March 12, 2020 Fact: The baby has a fever. Evidence: Two thermometers produce a succession ... Aug 17, 2018 ... Understanding clinical notes · A record of visit, capturing the clinician's subjective and objective findings, observations, diagnoses and ...
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