An entry in a patient record or in a report, generally used for the documentation of clinical information about a subject of information such as a patient or a relative of the patient, asserted by a particular source, recorded, and potentially verified.
Properties Defined | Constraints | Value |
---|---|---|
The person this entry belongs to. |
DataType Cardinality |
0..1
|
The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order. |
DataType Cardinality |
0..1
|
Provenance information specific to the signing of the clinical statement. |
DataType Cardinality |
0..1
|
A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. |
DataType Cardinality |
0..1
|