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  2. 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.

  3. Progress note - Wikipedia

    en.wikipedia.org/wiki/Progress_note

    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 ...

  4. Admission note - Wikipedia

    en.wikipedia.org/wiki/Admission_note

    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.

  5. Doctor’s notes that write themselves? UNC Health tests AI so ...

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  6. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    The maintenance of complete and accurate medical records is a requirement of health care providers and is generally enforced as a licensing or certification prerequisite. The terms are used for the written (paper notes), physical (image films) and digital records that exist for each individual patient and for the body of information found therein.

  7. Category : Respiratory system disease and disorder templates

    en.wikipedia.org/wiki/Category:Respiratory...

    If the template has a separate documentation page (usually called "Template:template name/doc"), add [[Category:Respiratory system disease and disorder templates]] to the <includeonly> section at the bottom of that page. Otherwise, add <noinclude>[[Category:Respiratory system disease and disorder templates]]</noinclude>

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