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  2. 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 ...

  3. 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 ...

  4. SAMPLE history - Wikipedia

    en.wikipedia.org/wiki/SAMPLE_History

    It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history.

  5. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    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 ...

  6. Protein in Urine: A Chart on What Your Levels Should Be

    www.healthline.com/.../protein-levels-in-urine-chart

    Protein amount. What it means. 30 mg/g or less. Normal. 30–300 mg/g. Moderately increased levels and potential chronic kidney disease. 300 mg/g or more. Severely increased levels. A reading of ...

  7. Family History Checklist: Questions for Your Relatives - WebMD

    www.webmd.com/health-insurance/family-history

    Family History Checklist: Questions for Relatives. Learn your family's health history. It can help your doctor choose the screening tests that might be right for you. It's most important to talk ...

  8. 1. Complete blood count. A routine complete blood count (CBC) checks for levels of 10 different components of every major cell in your blood: white blood cells, red blood cells, and platelets ...

  9. Dental and Periodontal Charting - Healthline

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

    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 ...

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