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2. 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. [1]

3. Medical billing - Wikipedia

   en.wikipedia.org/wiki/Medical_billing

   The process begins when a patient schedules an appointment. For new patients, this involves gathering essential information, including their medical history, insurance details, and personal data. For returning patients, the focus is on updating records with the latest reason for the visit and any changes to their personal or insurance information.

4. Progress note - Wikipedia

   en.wikipedia.org/wiki/Progress_note

   Physicians are generally required to generate at least one progress note for each patient encounter. Physician documentation is then usually included in the patient's chart and used for medical, legal, and billing purposes. Nurses are required to generate progress notes on a more frequent basis, depending on the level of care and may be ...

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8. Medication Administration Record - Wikipedia

   en.wikipedia.org/wiki/Medication_Administration...

   A kardex (plural kardexes) is a genericised trademark for a medication administration record. [2] The term is common in Ireland and the United Kingdom.In the Philippines, the term is used to refer the old census charts of the charge nurse usually used during endorsement, in which index cards are used, but has been gradually been replaced by modern health data systems and pre-printed charts and ...

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