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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. Medication Administration Record - Wikipedia

    en.wikipedia.org/wiki/Medication_Administration...

    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 ...

  4. 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 ...

  5. 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 ...

  6. Dental and Periodontal Charting - Healthline

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

    A dental chart, also called a periodontal chart, is where your dental healthcare professional records the condition of your teeth and gums. ... With better home care, for example, gum pockets ...

  7. Visual Acuity Test: Purpose, Procedure, and Results - Healthline

    www.healthline.com/health/visual-acuity-test

    Two commonly used tests are Snellen and random E. Snellen. The Snellen test uses a chart of letters or symbols. You’ve probably seen the chart in a school nurse’s office or eye doctor’s office.

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