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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. 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 ...

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. Height and Weight Chart Use - Healthline

   www.healthline.com/health/height-and-weight-chart

   Body mass index (BMI) A BMI chart is among the most common height and weight charts used by healthcare providers. Medical professionals use this tool for people as young as age 2. The primary ...

8. Progress note - Wikipedia

   en.wikipedia.org/wiki/Progress_note

   Progress Notes are the part of a medical record where healthcare professionals record details to document a patient 's clinical status or achievements during the course of a hospitalization or over the course of outpatient care. [1] Reassessment data may be recorded in the Progress Notes, Master Treatment Plan (MTP) and/or MTP review.

9. Dental and Periodontal Charting - Healthline

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

   The chart gives both you and your dentist a point of reference to see if you’re making progress in your dental health. With better home care, for example, gum pockets could improve.