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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.
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.
Another example is the DART system, organized into Description, Assessment, Response, and Treatment. [2] Documentation of care and treatment is an extremely important part of the treatment process. Progress notes are written by both physicians and nurses to document patient care on a regular interval during a patient's hospitalization.
This is a documentation subpage for Template:Death-date and age. It may contain usage information, categories and other content that is not part of the original template page. This template is used on approximately 11,000 pages and changes may be widely noticed.
Sample view of an electronic health record. An electronic health record (EHR) also known as an electronic medical record (EMR) or personal health record (PHR) is the systematized collection of patient and population electronically stored health information in a digital format. [1] These records can be shared across different health care settings.
Day first format: Sample below displays 24 February 1993 () (aged 51), with invisible microformat dtend date: 1993-02-25 {{Death-date and age| 24 February 1993 | 12 April 1941 }} Year only, year and month only: Sample below displays 1993 ( 1994 ) (aged 52) , with invisible microformat dtend date: 1994
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Example 2: Number: required: Day of death: 3: The day (number) in which the person died. Example 24: Number: required: Day first: df: When set to 'y' or 'yes', the date of death is output in a DMY format. Example y: String: optional: Month first: mf: When set to 'y' or 'yes', stresses that the default MDY date format is intended for the date of ...