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Medication Administration Record. A Medication Administration Record [1] ( MAR, or eMAR for electronic versions), commonly referred to as a drug chart, is the report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. The MAR is a part of a patient's permanent record on their medical ...
Vaccine Information Statement. A Vaccine Information Statement (VIS) is a document designed by the Centers for Disease Control and Prevention (CDC) to provide information to a patient receiving a vaccine in the United States. The National Childhood Vaccine Injury Act requires that medical professionals provide a VIS to patients before receiving ...
Progress notes are written by both physicians and nurses to document patient care on a regular interval during a patient's hospitalization. Progress notes serve as a record of events during a patient's care, allow clinicians to compare past status to current status, serve to communicate findings, opinions and plans between physicians and other ...
History of the present illness. Following the chief complaint in medical history taking, a history of the present illness (abbreviated HPI) [1] (termed history of presenting complaint ( HPC) in the UK) refers to a detailed interview prompted by the chief complaint or presenting symptom (for example, pain ).
Second, medical roots generally go together according to language, i.e., Greek prefixes occur with Greek suffixes and Latin prefixes with Latin suffixes. Although international scientific vocabulary is not stringent about segregating combining forms of different languages, it is advisable when coining new words not to mix different lingual roots.
The bottom of the first sheet, the top and bottom of the second sheet, and the top of the third sheet are chemically treated so that the impression of the first sheet comes on the second and third sheets. Errors. It is possible for optical answer sheets to be printed incorrectly, such that all ovals will be read as filled.
SOAP note. The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient 's chart, along with other common formats, such as the admission note. [1] [2] Documenting patient encounters in the medical record is an integral part of practice ...
The prescription symbol, ℞, as printed on the blister pack of a prescription drug. A prescription, often abbreviated ℞ or Rx, is a formal communication from a physician or other registered healthcare professional to a pharmacist, authorizing them to dispense a specific prescription drug for a specific patient.
A mock-up of a TPS report cover sheet, created for the movie Office Space. A TPS report ("test procedure specification") is a document used by a quality assurance group or individual, particularly in software engineering, that describes the testing procedures and the testing process.
Plus–minus sign. The plus–minus sign, ±, is a symbol with multiple meanings: In mathematics, it generally indicates a choice of exactly two possible values, one of which is obtained through addition and the other through subtraction. In statistics and experimental sciences, the sign commonly indicates the confidence interval or uncertainty ...