<p>A clinical document is a documentation of clinical observations and services, with the following characteristics:</p><ul><li><p>Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements;</p></li><li><p>Stewardship - A clinical document is maintained by a person or organization entrusted with its care;</p></li><li><p>Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated;</p></li><li><p>Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document;</p></li><li><p>Human readability - A clinical document is human readable.</p></li></ul>

http://purl.bioontology.org/ontology/HL7/C1828480

C1828480

A clinical document is a documentation of clinical observations and services, with the following characteristics:

• Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements;

• Stewardship - A clinical document is maintained by a person or organization entrusted with its care;

• Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated;

• Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document;

• Human readability - A clinical document is human readable.

active

13948

true

C1828480

clinical document

T170

http://purl.bioontology.org/ontology/HL7/C1563337