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TITLE:ELECTRONIC HEALTH RECORD (EHR) DOCUMENTATION STANDARDS AND GUIDELINESMANUAL:MEDICAL STAFF POLICIES AND PROCEDURESEffective Date: 6/28/2016 Reviewed/Revised:I. Page 1 of 5Approval /s/ Jeannette
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Documentation standards are guidelines or criteria for documenting processes, procedures, or actions in a consistent and organized manner.
Any individual or organization that needs to document their activities or operations is required to follow documentation standards.
To fill out documentation standards, one must adhere to the guidelines provided and accurately document relevant information.
The purpose of documentation standards is to ensure clarity, consistency, and transparency in documenting information or processes.
The information to be reported on documentation standards may include details of activities, processes, outcomes, timelines, and any other relevant data.
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