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Our primary findings are that, among patients with an eGFR 10-59 ml/min/1.73 m, documentation of CKD within a managed care organization is low (14.4%) and that CKD documentation is associated with male gender, increasing age, CKD severity, peripheral artery disease and congestive heart failure.
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Millions upon millions of pages of documentation are associated with every defense program, and much of this documentation is not classified.
The finding that systems of clinical documentation are associated with clinical care is not new[ 1- 7].
In the absence of documentation of time spent counseling, copied counseling documentation was associated with slightly higher charges.
Documentation was associated with certain patient characteristics such as disease severity, suggesting that there is a severity threshold above which PCPs are more likely to document CKD on the problem list.
Because of considerable heterogeneity in the type of template used within this group and important differences in the items on different templates, we had an opportunity to describe variability in the selection of templates and also to test a hypothesis that the template type used to document care is associated with the documentation of processes of care.
Our objective was to determine whether electronic problem list documentation of CKD is associated with monitoring and treatment.
This study found that the documentation of delirium is associated with a significant increase in ICU and hospital LOS, but not mortality.
Every data source is associated with documentation including following information: how and when chemical compounds were collected into a data source, links to the outside repositories, time-stamp of when a data source was created and updated, information about last update; a list of authors and reviewers of DSSTox data source and supporting literature.
For example, we found that fewer severe cases but more uncomplicated fast-breathing cases were recorded in RR compared with DO, and cannot be sure if this is associated with poor documentation or is a true difference.
In some settings, part of the EHR documentation (usually with older versions of an EHR) is associated with the PHR.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com