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It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
The model letters set out below are meant to be sent to web sites (and their service providers) in order to explain the requirements of the CC-BY-SA and GFDL, and to urge compliance. This page is part of Wikipedia:Mirrors and Forks. The original letters on this page were based on User:MyRedDice/Abacci Letter.
Scrap paper, Post-it notes – intentionally recording raw data on non-official records is a set-up for transcription and is therefore prohibited. Avoiding asterisks as part of the notation of a hand-change – where insufficient white space permits a fully notated hand change, a common practice is to use an asterisk (or other mark) near the ...
Non-conformance may be a market complaint or customer complaint or failure of machinery or a quality management system, or misinterpretation of written instructions to carry out work. The corrective and preventive action is designed by a team that includes quality assurance personnel and personnel involved in the actual observation point of non ...
Sample of a German business letter, designed according to the rules of DIN 5008. The German national standard DIN 5008 by Deutsches Institut für Normung (DIN) specifies writing and layout rules for word processing. As such it is one of the fundamental standards for office communication and administrative work in Germany.
[citation needed] [1] The chief complaint is a concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return, or other reason for a medical encounter. [2] In some instances, the nature of a patient's chief complaint may determine if services are covered by health insurance .
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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. An increasing purpose of the medical record is to ensure documentation of compliance with institutional, professional or governmental regulation.