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  2. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    While an insured patient typically interacts only with a healthcare provider during a visit, the encounter is part of a three-party system. The first party in this system is the patient. The second is the healthcare provider, a term that encompasses not only physicians but also hospitals, physical therapists, emergency rooms, outpatient ...

  3. Consolidated Clinical Document Architecture - Wikipedia

    en.wikipedia.org/wiki/Consolidated_Clinical...

    Progress Note - This template represents a patient's clinical status during a hospitalization, outpatient visit, treatment with a LTPAC provider, or other healthcare encounter. [ 14 ] Transfer Summary - The Transfer Summary standardizes critical information for exchange of information between providers of care when a patient moves between ...

  4. Progress note - Wikipedia

    en.wikipedia.org/wiki/Progress_note

    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.

  5. International Classification of Primary Care - Wikipedia

    en.wikipedia.org/wiki/International...

    It provides a framework for documenting and organizing clinical data from primary care patient contacts. The ICPC-3 includes codes for the four key elements of healthcare encounters: the reason for the encounter (RFE); the diagnosis and/or health problem;

  6. Continuity of Care Document - Wikipedia

    en.wikipedia.org/wiki/Continuity_of_Care_Document

    The patient summary contains a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to ...

  7. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    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.

  8. Top 5 nursing trends shaping health care in 2025 - AOL

    www.aol.com/top-5-nursing-trends-shaping...

    As patient care becomes more complex, medical advances and technological innovations evolve to keep pace. Nurses must be ready to shift in their roles to stay in step with these changes.

  9. Doctor's visit - Wikipedia

    en.wikipedia.org/wiki/Doctor's_visit

    A doctor meeting with her patient in Egypt. Doctors develop a close relationship with their patients in order to build trust and better diagnose and treat disease.. A doctor's visit, also known as a physician office visit or a consultation, or a ward round in an inpatient care context, is a meeting between a patient with a physician to get health advice or treatment plan for a symptom or ...