Problems of documentation including illegible handwriting were found in 98.0% (95% CI: 97.0, 99.1) of records.
However, despite these identified ambiguities and problems of documentation in the literature, methods of handling complex chart data are quite inconsistent across the studies and reported only sporadically.
The consequences of Roma marginalization (including poor educational opportunities, poverty, and stigmatization) certainly contribute to severely compromised health outcomes in essentially all Roma populations [ 46, 48- 50], but it is important to also note the core problems of documentation and citizenship status impacting this group's ability to access rights in general.
The problem of documentation: freeware often lack well-designed user manuals unlike the well-developed ones that usually come with proprietary software.
This problem of documentation deficiencies (including handwritten problems either on format or content clarity) and lack of standardization led to errors of interpretation by the reviewers, who were obliged to synthesize what information was present.
Short fully patient administered questionnaires, such as the Routine Assessment of Patient Index Data 3 or a modified version of the Rheumatoid Arthritis Disease Activity Index (RADAI-5) could provide a solution for the problem of documentation and the time necessary for it [ 34, 35].
Clinicians' apparent failure to recommend cancer screening despite their best intentions is likely attributable to competing demands for their time and attention during busy offices visits,[ 22, 23] such as management of multiple acute problems, chronic illnesses, psychosocial problems, completion of documentation, referrals, and phone calls.
As many consultations of specialists end with recommendations for further diagnostics and/or drug prescriptions, problems of guidance, documentation, coordination and cooperation between professionals arise, for which tools and routines are largely lacking.
This study was performed to expand current understanding of the problem of medication documentation in outpatient settings, by documenting the frequency of prescribed medication congruence in representative practices providing primary care, including private offices, community health centers (CHC) and academic health center affiliated clinics.
This last aspect is particularly evident when it is necessary to solve the problem of the documentation of a multi-strata mound of amphoras, anchoring 3D models of each stratum as it is removed.
It is necessary to analyze, compare and potentially harmonize data structures in EHR and EDC systems to address this problem of redundant documentation in EHR and EDC systems.
