Sentence examples for no structured documentation from inspiring English sources
There was no structured documentation of the care provided.
While it remains uncertain whether there is a single best method to document notes, the use of structured documentation has been associated with improved performance on several quality measures compared to those using free text or dictating [ 12].
An expandable EMR system with structured data entry (OpenSDE) for pediatrics was developed, allowing structured documentation of patient history and physical examination.
In order to facilitate the selection and application of automated usability-evaluation techniques, we introduce a template for structured documentation and reflection.
A structured documentation template is an organized collection of data items relevant to a particular clinical context that can be used to collect or present codified information about a patient.
No structured reasons are necessary.
Structured documentation of follow-up items should therefore be a standard functionality in HIS.
Communication between the multidisciplinary staff members was provided during structured documentation in the patients files.
For example, a structured documentation of joint involvement was a prerequisite for validation of the classification criteria.
An expandable EMR system with OpenSDE for general pediatrics is developed, allowing structured documentation of patient history and physical examination.
The procedure included detailed and systematic examination of individual interviews and a structured documentation process of coding.
