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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 ...
When a patient is hospitalized, daily updates are entered into the medical record documenting clinical changes, new information, etc. These often take the form of a SOAP note and are entered by all members of the health-care team (doctors, nurses, physical therapists, dietitians, clinical pharmacists, respiratory therapists, etc.). They are ...
Open Dental, previously known as Free Dental, is an open-source dental practice management software licensed under the GNU General Public License. [3] It is written in the C# programming language compatible with Microsoft .NET Framework and was first released in 2003.
Schleyer [3] and Kirshner [4] categorized dental software as administrative, clinical, and for the Internet. Zimmerman et al. [5] categorized dental software functions for administration and management of patients documentation, electronic archives of the documentation, telecommunication, computer - aided education, computerizing instruments and techniques in the dental office software ...
Forms are available for risk assessment for caries when treating dental cases; this system using the evidence-based Caries Management by Risk Assessment (CAMBRA). [69] It is still unknown if the identification of high-risk individuals can lead to more effective long-term patient management that prevents caries initiation and arrests or reverses ...
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