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2. SOAP note - Wikipedia

   en.wikipedia.org/wiki/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 workflow ...

3. Medical record - Wikipedia

   en.wikipedia.org/wiki/Medical_record

   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 ...

4. Progress note - Wikipedia

   en.wikipedia.org/wiki/Progress_note

   Progress notes are written by both physicians and nurses to document patient care on a regular interval during a patient's hospitalization. Progress notes serve as a record of events during a patient's care, allow clinicians to compare past status to current status, serve to communicate findings, opinions and plans between physicians and other ...

5. How to Read Your Cancer Pathology Report - WebMD

   www.webmd.com/cancer/cancer-pathology-results

   There are three possible results: Positive: Cancer cells are found at the edge of the margin. This may mean that more surgery is needed. Negative: The margins don’t contain cancerous cells ...

6. Dental and Periodontal Charting - Healthline

   www.healthline.com/health/dental-and-periodontal...

   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 ...

7. Your Medical History: What It Includes & Why It's Important

   www.webmd.com/a-to-z-guides/what-is-my-medical...

   Your medical history includes both your personal health history and your family health history. Your personal health history has details about any health problems you’ve ever had. A family ...

8. What Are ADLs and How They’re Measured - WebMD

   www.webmd.com/a-to-z-guides/what-are-activities...

   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 ...

9. What Normal (and Abnormal) Urine Test Results Reveal - Healthline

   www.healthline.com/health/normal-urine-test...

   ketones. presence in urine is abnormal, may indicate diabetes. albumin. presence is abnormal, may indicate kidney disease. protein. presence is abnormal, may indicate kidney disease. bilirubin ...