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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. Admission note - Wikipedia

   en.wikipedia.org/wiki/Admission_note

   Admission notes document the reasons why a patient is being admitted for inpatient care to a hospital or other facility, the patient's baseline status, and the initial instructions for that patient's care. Health care professionals use them to record a patient's baseline status and may write additional on-service notes, progress notes ( SOAP ...

5. How to Read Your Cancer Pathology Report - WebMD

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

   A tumor grade reflects how likely it is to grow and spread. In general, this is what those grades mean: Grade 1: Low grade, or well-differentiated: The cells look a little different than regular ...

6. 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 ...

7. 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 ...

8. What to Know About Patient Portals - WebMD

   www.webmd.com/a-to-z-guides/patient-portals-overview

   A patient portal is a secure website set up by a health care system, hospital, or clinic. The tools (or features) vary, depending on the portal. Patient portals can help you access medical records ...

9. Pain Scale: What It Is and How to Use It - Healthline

   www.healthline.com/health/pain-scale

   A person usually self-reports their pain using a specially designed scale, sometimes with the help of a doctor, parent, or guardian. Pain scales may be used during admission to a hospital, during ...