An entry in an ELECTRONIC HEALTH RECORD, recorded by a CARE PROFESSIONAL, PATIENT or Patient Proxy, or other authorised PERSON, relating to ACTIVITIES for the care and treatment of a PATIENT. 

CODED CLINICAL ENTRIES may describe:

• CLINICAL INTERVENTIONS
• CLINICAL INVESTIGATION RESULT ITEMS
• PATIENT DIAGNOSES
• PERSON PROPERTIES
• PLANNED ACTIVITIES
• ACTIVITY DRUGS
• CARE PLANS
• ACTIVITY GROUPS
• CARE ACTIVITIES
• any other aspect of PATIENT care and management.

A CODED CLINICAL ENTRY in an ELECTRONIC HEALTH RECORD should include the recording of relevant CLINICAL TERMINOLOGY CODES and/or CLINICAL CLASSIFICATION CODES. Where information to complete the CODED CLINICAL ENTRY is missing, a DATA ABSENT REASON should be recorded.

This class is also known by these names:

Context	Alias
plural	CODED CLINICAL ENTRIES