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Within the medical record, individual medical encounters are marked by discrete summations of a patient's medical history by a physician, nurse practitioner, or physician assistant and can take several forms. Hospital admission documentation (i.e., when a patient requires hospitalization) or consultation by a specialist often take an exhaustive ...
They are the repository of medical facts and clinical thinking, and are intended to be a concise vehicle of communication about a patient’s condition to those who access the health record. The majority of the medical record consists of progress notes documenting the care delivered and the clinical events relevant to diagnosis and treatment ...
In 2014, state death records containing cause and location of death were matched with POLST orders for people (sample size N = 58,000) with a POLST form in the state registry. [23] Conclusion: The association with numbers of deaths in the hospital suggests that end-of-life preferences of people who wish to avoid hospitalization as documented in ...
An attending physician statement (APS) is a report by a physician, hospital, or medical facility that has treated, or is currently treating, a person seeking insurance. [1] In traditional underwriting, an APS is one of the most frequently ordered additional sources of medical background information. The APS is one of the more expensive ...
Somerset State Hospital: Somerset: 1938: 463: 1947: n/a: closed: cottage: Began as county poor farm. Is now converted to a Correctional facility South Mountain Restoration Center: Mont Alto: 1907: 1100: 1970: active: cottage: also known as Samuel G. Dixon State Hospital Torrance State Hospital: Derry Township: 1919: 3300: 1950s: 229 (2008 ...
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Medical history taking may also be impaired by various factors impeding a proper doctor-patient relationship, such as transitions to physicians that are unfamiliar to the patient. History taking of issues related to sexual or reproductive medicine may be inhibited by a reluctance of the patient to disclose intimate or uncomfortable information.