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ICD International Classification of Diseases Information on influenza vaccination was not analysed because documentation in the EMR data is ambiguous.
However, we still support observation and intervention to improve the problem list because documentation in the free text of clinical notes is not as useful for quality measurement, health services research, or clinical decision support interventions, and potentially is a barrier to team-based primary care models, such as the patient-centered medical home.
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Model covariates were selected based on a significant association with the stature components or because of previous documentation in the literature (12, 13, 20, 21).
Ms. Adler said there was no documentation in the book because "I did not think it belonged in there".
6 Because of the possibility of inadequate documentation in the first visit chart, we checked and confirmed the opinion of EPs who saw patients in their second visits.
In addition, because of the existing data collection process, current documentation in the US Renal Data System may not accurately reflect the "pre-dialysis" health status in a number of patients.
6 12 Retrospective record review has several inherent limitations because the ability to determine what occurred depends solely on the documentation in the clinical record.
Expenditures were also subject to documentation in the Pipe rolls.
Because documentation of the tungiasis presence in Peru is scarce, we conducted an extensive retrospective search that involved the critical appraisal and inspection of 2 main classes of materials: written evidence and earthenware representations.
Data on polyp size are limited to n = 31 subjects because documentation of the diameter of polyps was not available in three subjects.
It is likely that we underestimated the actual number of cases of asymptomatic bacteriuria because documentation of urinary symptoms in the medical record was sometimes lacking and we required documentation that urinary symptoms were not present to classify a case as asymptomatic bacteriuria.
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CEO of Professional Science Editing for Scientists @ prosciediting.com