Documentation Norms

The Connect Care clinical information system (CIS) serves all who provide care where Connect Care is the record of care. Documentation norms are about how Connect Care users collectively improve the benefit-to-burden balance of documentation work. 

Documentation norms relate to professionalism and accountability and are based on sound clinical documentation principles. Our expectations of one another, and the digital behaviours that express those expectations, promote good documentation practices in the six distinct CIS activities listed below:

More information, and practical do's and don'ts, appear in:

The above resources focus on documentation responsibilities common to prescribers (physicians, trainees, midwives, clinical associates, etc.). Parallel considerations apply to nursing and allied health professions:

Norms resonate with but do not replace any organizational policies or required procedures that may pertain in AHS or any of its affiliated organizations.