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  2. 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.

  3. Medication Administration Record - Wikipedia

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

    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.

  4. List of abbreviations used in medical prescriptions - Wikipedia

    en.wikipedia.org/wiki/List_of_abbreviations_used...

    Printable version From Wikipedia, the free encyclopedia This is a list of abbreviations used in medical prescriptions , including hospital orders (the patient-directed part of which is referred to as sig codes ).

  5. History of the present illness - Wikipedia

    en.wikipedia.org/wiki/History_of_the_present_illness

    Following the chief complaint in medical history taking, a history of the present illness (abbreviated HPI) (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).

  6. Grand rounds - Wikipedia

    en.wikipedia.org/wiki/Grand_rounds

    Grand rounds are a methodology of medical education and inpatient care, consisting of presenting the medical problems and treatment of a particular patient to an audience consisting of doctors, pharmacists, residents, and medical students.

  7. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    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 ...

  8. Optical mark recognition - Wikipedia

    en.wikipedia.org/wiki/Optical_mark_recognition

    Optical mark recognition ( OMR) collects data from people by identifying markings on a paper. OMR enables the hourly processing of hundreds or even thousands of documents. For instance, students may remember completing quizzes or surveys that required them to use a pencil to fill in bubbles on paper (seen to the right).

  9. Medication package insert - Wikipedia

    en.wikipedia.org/wiki/Medication_package_insert

    A package insert from 1970, with Ovrette brand contraception pills. A package insert is a document included in the package of a medication that provides information about that drug and its use. For prescription medications, the insert is technical, providing information for medical professionals about how to prescribe the drug.

  10. List of medical roots, suffixes and prefixes - Wikipedia

    en.wikipedia.org/wiki/List_of_medical_roots...

    This is a list of roots, suffixes, and prefixes used in medical terminology, their meanings, and their etymologies. Most of them are combining forms in Neo-Latin and hence international scientific vocabulary. There are a few general rules about how they combine.

  11. List of logic symbols - Wikipedia

    en.wikipedia.org/wiki/List_of_logic_symbols

    List of logic symbols. This article contains logic symbols. Without proper rendering support, you may see question marks, boxes, or other symbols instead of logic symbols. In logic, a set of symbols is commonly used to express logical representation.