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Progress Notes are the part of a medical record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care. [1] Reassessment data may be recorded in the Progress Notes, Master Treatment Plan (MTP) and/or MTP review. Progress ...
Google Docs is an online word processor and part of the free, web-based Google Docs Editors suite offered by Google. Google Docs is accessible via a web browser as a web-based application and is also available as a mobile app on Android and iOS and as a desktop application on Google's ChromeOS .
An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care.
Today, it is widely adopted as a communication tool between inter-disciplinary healthcare providers as a way to document a patient's progress. [1] SOAP notes are commonly found in electronic medical records (EMR) and are used by providers of various backgrounds. [2] Generally, SOAP notes are used as a template to guide the information that ...
A form is a document which contains blank spaces (also named fields or placeholders) in which one can write or select an option. Forms can be distributed to several signatories at once, or made available on demand. Before being filled out, each copy of a form is usually identical, except, possibly, for a serial number. A form allows an ...
The tongue is moved side to side and inspected; it should be pink, moist, smooth and glistening. Assessment of the ventral (bottom) surface of the tongue is done by having the patient touch the tip of their tongue against the roof of their mouth. If healthy, it should have prominent veins and be pink, smooth, moist, glistening and free of lesions.
In May 2007, Kodak sold the dental PMS software business to Canadian company Onex, renamed Carestream, which currently markets and supports the SoftDent application. Carestream Dental split from Carestream Health in 2017 to be a stand-alone company. [2] [3] The application is not suited for very large offices or multi-location offices. The most ...
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