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The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.
Physicians are generally required to generate at least one progress note for each patient encounter. Physician documentation is then usually included in the patient's chart and used for medical, legal, and billing purposes. Nurses are required to generate progress notes on a more frequent basis, depending on the level of care and may be ...
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.
a proprietary commercial PDF creator/editor with an interface styled after Microsoft Office; replicates most or all features of the Adobe Acrobat full commercial version; offers a separate freeware reader (which also supports PDF creation, annotation, collaboration and signing); Ghostscript not additionally needed.
Microsoft Word is a word processing program developed by Microsoft.It was first released on October 25, 1983, [12] under the name Multi-Tool Word for Xenix systems. [13] [14] [15] Subsequent versions were later written for several other platforms including: IBM PCs running DOS (1983), Apple Macintosh running the Classic Mac OS (1985), AT&T UNIX PC (1985), Atari ST (1988), OS/2 (1989 ...
The new year is right around the corner, and General Mills is giving cereal fans many reasons to celebrate. In December, the Minneapolis-based food conglomerate announced that it's bringing nine ...
Microsoft Graph supports many different types of charts, but its output is dated. Office 2003 was the last version to use Microsoft Graph for hosting charts inside Office applications as OLE objects. Office 2007 – specifically, Excel 2007 – includes a new integrated charting engine, and the charts are native to the applications. The new ...
"He was a genie in the bottle, and he let me have the cork," the legend says in the PBS documentary 'Brenda Lee: Rockin' Around'
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