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SOAP note. The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient 's chart, along with other common formats, such as the admission note. [1] [2] Documenting patient encounters in the medical record is an integral part of practice ...
A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...
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 ...
Whole-grain bread, English muffin, or bagel. Whole-grain waffles or pancakes with fruit. Lean protein (low in saturated fat): A higher omega-3 egg blended with 2 egg whites for an egg dish. Add ...
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 ...
In addition to changing your diet, you might try more exercise to move things along. Type 3 stool. A sausage-shaped poop with cracks on the surface is considered normal on the Bristol Stool Scale ...
In this case, positive doesn’t necessarily mean “good” and negative doesn’t necessarily mean “bad.”. Instead: Positive: The lab found whatever your doctor was testing for. So if you ...
Blood pressure is a measurement of the extent of the force of blood on your blood vessel walls as your heart pumps. It’s measured in millimeters of mercury (mm Hg). Systolic blood pressure is ...