Medical Documentation System
type: EntityType
type: ApplicationComponent
type: ComputerBasedApplicationComponent
label: Medizinisches Dokumentationssystem @de
label: سیستم مستندات پزشکی @fa
subclass of: ComputerBasedApplicationComponent
supports: HumanResourceManagement
supports: DecisionMakingPlanningAndOrganizationOfPatientTreatment
supports: ExecutionOfDiagnosticTherapeuticAndNursingProcedures
supports: MedicalAdmission
supports: PatientDischargeAndTransferToOtherInstitutions
chapter: Thesaurus
definition: Application component supporting specific documentation tasks (e.g., patient history, planning of care, progress notes, report writing). Typically, it contains specialized modules for different medical fields.
concept domain: health care specific
page: 113
typical feature: FeaturePrintReports
typical feature: FeatureProvideContextRelatedMedicalKnowledge
typical feature: FeatureProvideFormsForDocumentingDiagnosis
typical feature: FeatureProvideFormsForDocumentingMedicalAnamnesis
typical feature: FeatureProvideFormsForDocumentingPatientsInformedConsent
typical feature: FeatureProvideFormsForDocumentingPlannedTasks
typical feature: FeatureProvideFormsForEnteringClinicalData
typical feature: FeatureProvideFormsForPatientsInformedConsent
typical feature: FeatureProvideFormsForPreparingClinicalReports
typical feature: FeatureProvideFormsForWritingTheDischargeLetterOrDischargeReport
typical feature: FeatureProvideGuidelinesForCarePlanning
typical feature: FeatureProvideGuidelinesForTreatmentPlanning
typical feature: FeatureScanningDocumentsFromReferringPhysicianAndOtherSources
communicates with: DataWarehouseSystem