Health informatics resources including concepts concerning the structure of health records
tangible and visible entity
template for recording a care record
data produced during care activities
information about a person relevant to their care
care activity where health records are created or maintained
health record held under the responsibility of one care provider and maintained by care professionals
health record held and maintained by the subject of care or a subject of care proxy
data repository containing health record extracts, accessible for duly authorized care actors independent of their organizational affiliation and placed under the custody of a care actor
part or all of a health record extracted for the purpose of communication
part or all of a social record extracted for the purpose of communication
health record extract conveying specifically focused care information in order to fulfil current information needs of the recipient
social record extract conveying specifically focused social care information in order to fulfil current information needs of the recipient
health report concerning a completed, mandated period of care
electronic health record extract containing essential care information intended for specific uses
discharge report summarizing a mandated period of care
health record extract that includes all health record components associated with a health thread for a specific concern
data repository containing summarized information for care coordination and the continuity of care
care activity where at least two care actors communicate
care information the relevance of which has not been assessed and explicitly stated as valid by a care professional
care information that is a candidate for import into a professional health record after a care professional has confirmed its clinical relevance to that professional health record
request sent out by a care actor to another care actor for specific care information needed for the provision of care to a subject of care
official document issued by a care actor attesting the relevant health matters of a subject of care
part of a health record that is identifiable for the purposes of referencing and revision
structure component used for creating hierarchical structures within an EHR extract and with compositions as leaf nodes
structure component containing information composed during one clinical encounter or documentation session, and committed within one health record
health record component that represents the data documenting one observation or a series of related observations, or a statement, an explanation of reasoning, a care intention, plan or action
thoughts, ideas, memories and concepts that exist within an individual’s mind
a state or condition