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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.

  3. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    The physician will take a history of present illness, or HPI, of the CC. [1] This describes the patient's current condition in narrative form, from the time of initial sign/symptom to the present. [10] It begins with the patient's age, sex, and reason for visit, and then the history and state of experienced symptoms are recorded. [1]

  4. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.

  5. Mom writes letter to doctor: 'You were wrong about Down ... - AOL

    www.aol.com/article/2016/06/09/mom-writes-letter...

    When Courtney Baker's baby was diagnosed with Down syndrome her doctor advised her to get an abortion -- and now she's opening up about the experience. Mom writes letter to doctor: 'You were wrong ...

  6. 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 ...

  7. Attending physician statement - Wikipedia

    en.wikipedia.org/wiki/Attending_physician_statement

    An attending physician statement (APS) is a report by a physician, hospital, or medical facility that has treated, or is currently treating, a person seeking insurance. [1] In traditional underwriting, an APS is one of the most frequently ordered additional sources of medical background information. The APS is one of the more expensive ...

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    Get AOL Mail for FREE! Manage your email like never before with travel, photo & document views. Personalize your inbox with themes & tabs. You've Got Mail!

  9. Doctor–patient relationship - Wikipedia

    en.wikipedia.org/wiki/Doctorpatient_relationship

    The doctorpatient relationship is a central part of health care and the practice of medicine. A doctorpatient relationship is formed when a doctor attends to a patient's medical needs and is usually through consent. [1] This relationship is built on trust, respect, communication, and a common understanding of both the doctor and patients ...