Transcription of CLINICAL DOCUMENTATION PROCESS Directive 1173-01
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CLINICAL DOCUMENTATION PROCESS Directive 1173-01
Directive . TITLE. CLINICAL DOCUMENTATION PROCESS . SCOPE DOCUMENT #. Provincial 1173-01 . APPROVAL AUTHORITY INITIAL EFFECTIVE DATE. CLINICAL Operations Executive Committee August 10, 2017. SPONSOR REVISION EFFECTIVE DATE. Quality and Chief Medical Officer Not applicable PARENT DOCUMENT TITLE, TYPE AND NUMBER SCHEDULED REVIEW DATE. CLINICAL DOCUMENTATION Directive August 10, 2018. NOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section. If you have any questions or comments regarding the information in this document, please contact the Policy & Forms Department at The Policy & Forms website is the official source of current approved policies, procedures, directives, standards, protocols and guidelines.
Alberta Health Services (including contracted service providers as necessary). ELEMENTS 1. Authority to Document Health Information 1.1 Only authorized persons shall: a) add health information to the clinical record for clinical documentation purposes; b) add health information to the health record for administrative purposes
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