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  2. 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.

  3. List of professional designations in the United States

    en.wikipedia.org/wiki/List_of_professional...

    Certified Massage Therapist: CMT: Certification by individual state boards Licensed Massage Therapist: LMT: Licensure by individual state boards Requires passing of NCETMB or MBLEx Licensed Clinical Massage Therapist: LCMT: Licensure by individual state boards Requires passing of NCETMB or MBLEx Clinical education specialized for health care ...

  4. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    The maintenance of complete and accurate medical records is a requirement of health care providers and is generally enforced as a licensing or certification prerequisite. The terms are used for the written (paper notes), physical (image films) and digital records that exist for each individual patient and for the body of information found therein.

  5. Occupational licensing - Wikipedia

    en.wikipedia.org/wiki/Occupational_licensing

    The certification requirements include passing of a standardized, state-administered test and proof of minimum experience working under the supervision of a licensed practitioner. New entrants to the occupation can start working as trainees such as "apprentice electrician".

  6. Health professional requisites - Wikipedia

    en.wikipedia.org/wiki/Health_professional_requisites

    They include licensure, certification and proof of minimum training for regulated health professions. [1] In the health care system, a health professional who offers medical, nursing or other types of health care services is required to meet specific requisites put into effect by laws governing health care practices.

  7. 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 ...

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