Annotation

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Annotation (Medicine)

Annotation (pronounced: /ænəˈteɪʃən/) in the context of medicine refers to the process of adding notes or comments to a patient's medical record for the purpose of clarification, explanation, or additional information.

Etymology

The term 'Annotation' is derived from the Latin word 'annotatio', which means a noting down.

Related Terms

  • Electronic Health Record (EHR): An electronic version of a patient's medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider.
  • Medical Coding: The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.
  • Clinical Documentation: Involves the recording of a patient's health status in a medical record. It includes the medical history, the physical examination, diagnosis, and the treatment plan.
  • Health Information Management (HIM): The practice of acquiring, analyzing, and protecting digital and traditional medical information vital to providing quality patient care.

See Also

External links

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