Abstract
This Excel workbook provides the recommended content for an Admission History that minimizes documentation burden and maximizes discrete data that is available for reuse. The workbook also details the items considered but not included with the reasons for exclusion. The Workbook can be used in combination with the Toolkit to guide creation or revision of Admission History documentation.
Resource-file
Keyword(s)
Best practice / guideline (unpublished)
Transforming Documentation
Data integration, standardization and interoperability (55)
Documentation burden (15)
Documentation Burden, Improvements, Usability
Electronic health record
Informatics tools