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Food: Keep a tally of everything you eat and drink for 2 to 4 weeks. A well-rounded log should include: What you eat. Portion size. Snacks count, too. Time of day. Where you ate.
Medication Administration Record. A Medication Administration Record [1] ( MAR, or eMAR for electronic versions), commonly referred to as a drug chart, is the report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. The MAR is a part of a patient's permanent record on their medical ...
To make a diary, use a sheet of lined paper. Near the top, write your personal goals, which should be determined by your doctor. Each time you have your cholesterol checked by a blood test, write ...
A patient portal is a secure website set up by a health care system, hospital, or clinic. The tools (or features) vary, depending on the portal. Patient portals can help you access medical records ...
Admission notes document the reasons why a patient is being admitted for inpatient care to a hospital or other facility, the patient's baseline status, and the initial instructions for that patient's care. Health care professionals use them to record a patient's baseline status and may write additional on-service notes, progress notes ( SOAP ...
The terms EHR, electronic patient record (EPR) and EMR have often been used interchangeably, but differences between the models are now being defined. The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations. The EMR, in contrast, is the patient record ...
Dental charting is a process in which your dental healthcare professional lists and describes the health of your teeth and gums. Periodontal charting, which is a part of your dental chart, refers ...
A sleep diary or sleep journal is an easy tool to help your doctor learn how much and how well you sleep. Keeping a diary for 1 to 2 weeks can reveal the patterns and factors that stop you from ...