Standards for core clinical information – Royal College of Physicians – 26 March 2012

Posted on March 27, 2012. Filed under: Health Informatics | Tags: |

Standards for core clinical information – Royal College of Physicians – 26 March 2012

“Standards for the structure and content of core clinical headings are being developed in a project led by the Health Informatics Unit (HIU). These headings are meant to apply to the patient focused record, and be accessible in any care context and communication.

This project aims identifies those pieces of core clinical information in all electronic health records, and to develop standard headings and precise definitions for them. Throughout the process of drafting of these standard headings, the Health Informatics Unit (HIU) has ensured that there has been large-scale clinical engagement and specialist contribution to the development of the standards. This has included extensive consultation with all the medical royal colleges, specialist societies, patients and carers, and with acute and mental health trusts.

This work is being carried out as part of phase two of the clinical documentation and generic record standards (CGDRS) programme of work, due for completion in 2012, and funded by NHS Connecting for Health. It is a clinically led project and the deliverables will be submitted to the Academy of Medical Royal Colleges for approval prior to submission to NHS Connecting for Health.”


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