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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.
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.
Inpatient care is the care of patients whose condition requires admission to a hospital. Progress in modern medicine and the advent of comprehensive out-patient clinics ensure that patients are only admitted to a hospital when they are extremely ill or have severe physical trauma. [1]
HTML Form format HTML 4.01 Specification since PDF 1.5; HTML 2.0 since 1.2 Forms Data Format (FDF) based on PDF, uses the same syntax and has essentially the same file structure, but is much simpler than PDF since the body of an FDF document consists of only one required object. Forms Data Format is defined in the PDF specification (since PDF 1.2).
For example, the word processing application Microsoft Word uses different file extensions for documents and templates: In Word 2003 the file extension .dot is used to indicate a template, in contrast to .doc for a standard document. In Word 2007 and later versions, it's .dotx, instead of .docx for documents. The OpenDocument Format also has ...
A day patient (or day-patient) is a patient who is using the full range of services of a hospital or clinic but is not expected to stay the night. The term was originally used by psychiatric hospital services using of this patient type to care for people needing support to make the transition from in-patient to out-patient care. However, the ...
The PAS records the patient's demographics (e.g. name, home address, date of birth) and details all patient contact with the hospital, both outpatient and inpatient. [ 1 ] PAS systems are often criticised for providing only administrative functionality to hospitals, however attempts to provide more clinical and operational functionality have ...
.doc (an abbreviation of "document") is a filename extension used for word processing documents stored on Microsoft's proprietary Microsoft Word Binary File Format; it was the primary format for Microsoft Word until the 2007 version replaced it with Office Open XML.docx files. [4] Microsoft has used the extension since 1983.