Nursing documentation is a cornerstone of contemporary healthcare, integrating systematic recording of patient observations, interventions, and outcomes with the aim of enhancing effective care ...

Complex interventions from hospital settings mapped to Omaha System terms commonly used in community care; demonstrating its potential as a tool for interoperability across settings.

For every patient who is hospitalized, a team of clinicians seeks to improve his health in order to help discharge him or to transfer him to another facility. During a hospital stay, physicians and ...