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clinical
(redirected from clinical record)

   Also found in: Dictionary/thesaurus, Medical, Wikipedia 0.03 sec.


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This is consistent with nursing practice--we should not be labeling or diagnosing conditions--we should be describing our findings in the clinical record, following the RAI User's Manual instructions for MDS coding, and leaving the diagnosing to the folks who have the licenses to diagnose.
He has actively guided the VA activities in establishing a life-long, comprehensive computerized clinical record for the nations' veterans as well as strengthening the working relationship between VA and the Department of Defense.
We conducted a retrospective clinical record review of V.
 
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