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Definition

health record held under the responsibility of one healthcare provider and maintained by one or several healthcare professionals

 

This is a concrete item and can be implemented directly

Term: professional health record; 
Plural: professional health records; 

Notes

NOTE The responsible healthcare provider may allow the subject of care to access and/or offer contributions to the professional health record.

Examples

EXAMPLES health records held at their surgery or at a health centre by a GP, by a medical specialist, by a nurse, in a hospital department at a patient's bedside, by a care team in an integrated clinical network, by a dentist.

Diagrammatic representation

Simple graph - professional health record

Required associations

one or more healthcare professionals maintains a number of professional health records
exactly one healthcare provider is responsible for a number of professional health records
one or more mandated periods of care is documented in one or more professional health records

Optional associations

a number of healthcare information for imports is imported into exactly one professional health record

Generalisations

        data repository
    health record
        data repository
    health record
professional health record

Specialisations

professional health record