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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. 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. 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 ...

6. Lab Test Results Guide: Positive vs Negative, Ranges ... - WebMD

   www.webmd.com/a-to-z-guides/lab-test-results

   Positive: The lab found whatever your doctor was testing for. So if you had a test for strep throat, testing positive means you do have strep throat. Negative: The lab didn’t find whatever you ...

7. 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 ...

8. What Is a Phlebotomist? - WebMD

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

   Phlebotomists take samples of blood for testing. The blood samples may be needed to learn more about a particular patient, or they may be used in research. Phlebotomists also collect blood from ...

9. Informed Consent in Healthcare: What It Is and Why It's Needed

   www.healthline.com/health/informed-consent

   When a healthcare provider recommends a specific procedure, you have the right to accept or refuse it. If you decide to move forward, you’ll need to give informed consent first. Informed consent ...