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2. Consolidated Clinical Document Architecture - Wikipedia

   en.wikipedia.org/wiki/Consolidated_Clinical...

   Consultation Note - The Consultation Note is generated by a request from a clinician for an opinion or advice from another clinician. [ 7 ] Continuity of Care Document - The Continuity of Care Document (CCD) represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare ...

3. SOAP note - Wikipedia

   en.wikipedia.org/wiki/SOAP_note

   The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.

4. 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 ...

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6. Medical certificate - Wikipedia

   en.wikipedia.org/wiki/Medical_certificate

   A medical certificate or doctor's certificate [1] [2] is a written statement from a physician or another medically qualified health care provider which attests to the result of a medical examination of a patient. [3] It can serve as a sick note (UK: fit note) (documentation that an employee is unfit for work) or evidence of a health condition. [4]

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9. Complications: A Surgeon's Notes on an Imperfect Science

   en.wikipedia.org/wiki/Complications:_A_Surgeon's...

   This mystery surrounding medicine demonstrates its own imperfection that doctors and patients should both be aware of. By knowing the shortcomings of medicine, doctors and patients alike are able to improve the care and doctor-patient relationship since they are aware of what medicine can accomplish through science and its limitations. [9] [10]