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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. An increasing purpose of the medical record is to ensure documentation of compliance with institutional, professional or governmental regulation.
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.
Touro Infirmary was founded in 1852 by an endowment from Judah Touro. Edward Haycock, Sr., of Shrewsbury, Shropshire, England won first prize for his plans for the building. [1] Touro is best known for its Family Birthing Center and for founding the first rehabilitation program [2] in New Orleans.
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]
They are the repository of medical facts and clinical thinking, and are intended to be a concise vehicle of communication about a patient’s condition to those who access the health record. The majority of the medical record consists of progress notes documenting the care delivered and the clinical events relevant to diagnosis and treatment ...
It is a division of the Touro University System. [6] The college's inaugural class graduated in 2011. [7] It was the first medical school to open in New York State in nearly 30 years and is the first osteopathic medical school with a special emphasis on training minority doctors. [8] TouroCOM currently has a student body of about 1,080 students ...
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