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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 ...
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 ...
The audiogram is a fairly simple graph: The Y-axis (vertical) measures the intensity, or loudness, of the sound. It’s measured in decibels (Db) and ranges from -10 to 110 on the audiogram. Low ...
Periodontal charting, which is a part of your dental chart, refers to the six measurements (in millimeters) that are taken around each tooth. The charting is usually done during dental checkups ...
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 ...
Right Dose. Right Time. Right Route. Right Documentation. Right Response. Tips for Medication Administration. 4 min read. One of the most serious responsibilities that health care providers have ...
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 ...
A full score of 60 points indicates complete independence. Barthel Index. This 100-point scale assesses 10 activities in people who have had a stroke. Each activity is scored between 0 and 10 or 0 ...