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"The judgment we formed was that the cropped photograph of man E was probably such poor quality it wasn't worth showing, but I don't have any contemporaneous record documentation".
Nevertheless, the quality of health record documentation on the mode of transport at Hualien Tzu Chi Hospital is relatively high: only 11% of cases have been classified as ICD-10 code VX9 "other and unspecified".
Legal counsel may offer further invaluable assistance to ensure compliance with state and hospital regulations on patient confidentiality, name-based reporting to the state, medical liability, patient record documentation, and contractual issues.
First, the mode of transport matrix frame is constructed on the basis of the ICD-10 codes; therefore, if the medical record documentation of the mode of transport is not as specific as required, many RTIs will be classified as "unspecified"; thus, no useful information can be obtained.
In the DelpHi study we use an electronic health record documentation that comprises drug documentation.
A variety of characteristics correlated with medical record documentation, but no pattern emerged.
Record documentation and business management activities occupied 11% and 12% of their time, respectively.
Medical record documentation varied depending on the measure, with room for improvement in most domains.
Medical record documentation should include the date and time of the physicians' review.
We did not find any medical record documentation of a discussion about herb use.
Thorough medical record documentation may provide important support to victims in legal settings [ 19].
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