What are the documentation requirements for telemedicine visits? How do the documentation requirements differ for inpatient and outpatient settings?

Apr 18, 2023 ... ... in the clinical notes of pregnant people during the birth admission. W … 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 ... A patient is entitled to inspect or receive a copy of his or her medical record, not the original. Patients often assume that the original record belongs to ... In this paper, I discuss the possibility of one unintended negative consequence of patient access to their clinical notes—the potential to increase 'nocebo ... Patients who read their clinical notes via online patient portals ('open notes ... Growing numbers of patients can now access their clinical notes via online ... This sample demonstrates how to request access to a user's clinical records through HealthKit. With the HealthKit framework's clinical record support, Mar 31, 2025 ... Covers how to access and share personal, health, and medical records online, including Joint Health Information Exchange. Nuance DAX receives an “A” in overall customer satisfaction. KLAS Spotlight validates DAX's ability to ease clinical documentation burden and strengthen patient ... May 27, 2022 ... Clinical documentation is the process of creating a text record that summarizes the interaction between patients and healthcare providers during ... Jul 26, 2021 ... The growing use of electronic health records in the medical domain results in generating a large amount of medical data that is stored in ...