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  2. OSCAR McMaster - Wikipedia

    en.wikipedia.org/wiki/OSCAR_McMaster

    OSCAR has many features which computerize and coordinate the important functions of a medical clinic. oscarEncounter is the patient's electronic medical record. It contains all of the patient's medical information, including CPP (Cumulative Patient Profile), patient history, progress notes, forms, documents, consultations and more.

  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. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...

  5. MUMPS - Wikipedia

    en.wikipedia.org/wiki/MUMPS

    MUMPS was also used in its earliest days in an experimental clinical progress note entry system [4] and a radiology report entry system. [5] Some aspects of MUMPS can be traced from RAND Corporation's JOSS through BBN's TELCOMP and STRINGCOMP. The MUMPS team chose to include portability between machines as a design goal.

  6. 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 ...

  7. Epic Systems - Wikipedia

    en.wikipedia.org/wiki/Epic_Systems

    Epic Systems Corporation (commonly known as Epic) is an American privately held healthcare software company based in Verona, Wisconsin. According to the company, hospitals that use its software held medical records of 78% of patients in the United States and over 3% of patients worldwide in 2022.

  8. 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.

  9. Eclipsys - Wikipedia

    en.wikipedia.org/wiki/Eclipsys

    Eclipsys was founded in 1995 by Harvey J. Wilson, who remained with the company until 2002. In 1998, the company acquired Motorola's Emtek Healthcare Division, [1] a provider of point-of-care clinical information software. [2] In 2008, the company acquired physician practice management software and electronic health records company MediNotes. [3]

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