Retrieval of the nursing documentation from the electronic patient record was done by the department secretary, who copied it, scored the patients' personal details and then removed personal identifying information before handing it over to the reviewers.
Using probabilistic models of information retrieval without relevance information.. Journal of Documentation 35: 285–295 (1979).
The ED adopted a comprehensive EDIS in 2004 (Picis, ED Pulsecheck, Wakefield, MA, formerly IBEX) that provides triage, patient tracking, physician and nurse documentation, retrieval of charts from prior ED encounters and inpatient data, computerized provider order entry, results review, discharge instructions and prescription writing.
Journal of Documentation 52, 3 50] suggests that information retrieval (IR) systems should provide and use different cognitive structures during acts of communication to reduce the uncertainty associated with interactive IR.
Documentation, storage and retrieval of ACP records were perceived as a significant issue across systems of care, especially when patients had many sets of notes and multiple admissions to hospitals.
The VMap standard is based in the Vector Product Format (VPF) which will again not be described in this report other than to point out that the VPF format for data storage, retrieval, and documentation specifically uses the term library in its description of data entitled with the VMap acronym or released under the VPF format.
The web site provides tools for querying and analysing the data as well as a wide range of documentation, and supports full text and field-based text searches, sequence similarity searching, multiple sequence alignments, batch retrieval and database identifier mapping.
Such a core list could then be incorporated into an electronic medical record template (with branching logic guiding the documentation of conditional items such as chest compressions), thereby facilitating quick and essential documentation, and more importantly, quick retrieval of accurate data through field-defined electronic queries.
This chapter provides an overview of documentation and discusses several types of documentation, such as contract documentation.
customs control of documentation.
