Class steward is Information Management (Medical Records)
Interested committees Orders/Observation
Documentation of a health related factor concerning a patient. See the class Document Header in the MDR 2300 model.
The date the document was authenticated.
A code depicting the availability of the document.
A code depicting the reason for the latest change to the document.
A code depicting the completion status of the document.
A code depicting the confidentiality status of the document.
A code indicating how the content of the document is to be presented.
The specific date that the document header was created..
The name on an electronic file containing the document.
A unique identifier assigned to the document.
The date the document was last edited.
The date the information in the document was originated.
The reporting priority of the clinical result.
|OM1^26^00611^Reporting Priority|
The date and time the clinical observation results are issued.
Rationale: closer to language used in V2.3
|OBR^22^00255^Results Rpt/Status Chng - Date/Time|
A code depicting the storage status of the document.
The date the information in the document was transcribed.
A code depicting the document type.
Rationale:
OpenIssue: If we have the linkage between patient service event and healthcare chart document header right, this might not be needed as it duplicates existing connections. This is pending joint work between Information Management, Orders/Observations, and Patient Care committees.