Clinical Annotation
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A text note which also contains information about who made the statement and when. A short comment or message, a post-note. An annotation cannot be edited or deleted. Another annotation can be added to amend any errors.
Clinical Annotation exists as part of the parent context entity or document.
Diagrammes connexes
- Laboratory Test Observation and Specimen Transportation
- Medical Imaging Reporting
- Medication Statement
- Medical Device and Equipment
- Medication Request, Administration
- Patient Health Concern
- Episode of Care
- Family History
- Encounter
- Clinical Documentation and Annotation
- Observation
- Health Care Service
- Procedure
- Immunization
- Service Request
- Appointment
- Laboratory Test Result Reporting
- Allergy and Intolerance
Contraintes
s. o.
Stéréotypes
s. o.
Attributs
| Attribut | Type | Multiplicité | Note sur l’attribut |
|---|---|---|---|
| Clinical Annotation Type Code | Codeable Concept | 0..1 | Uniquely specifies the type of the care note (e.g., patient instructions, remark, general reason).
Value Set: To be developed. |
| Clinical Annotation Text | Text | 1 | An annotation text content. |
| Clinical Annotation Date Time | Date Time | 0..1 | A date and time when an annotation was created. |
| Clinical Annotation Language Code | Codeable Concept | 0..1 | Uniquely specifies a communication language of the clinical annotation.
Value Set: To be developed. |
Relations
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Comment citer ce contenu:
Institut canadien d’information sur la santé. Clinical Annotation. Consulté le 02 novembre 2026.
