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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 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.

  4. SAMPLE history - Wikipedia

    en.wikipedia.org/wiki/SAMPLE_History

    It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]

  5. What Is the MOON Letter in Medicare? - AOL

    www.aol.com/lifestyle/moon-letter-medicare...

    If you are staying at the hospital under observation for more than 24 hours, your doctor has to give you a MOON letter to inform you of your status as an outpatient.

  6. Medical history - Wikipedia

    en.wikipedia.org/wiki/Medical_history

    The method by which doctors gather information about a patient's past and present medical condition in order to make informed clinical decisions is called the history and physical (a.k.a. the H&P). The history requires that a clinician be skilled in asking appropriate and relevant questions that can provide them with some insight as to what the ...

  7. Hospital hails success of digital patient letters - AOL

    www.aol.com/news/hospital-hails-success-digital...

    The hospital would save £221,000 a year on second-class stamps if all patients opted to for digital letters, a spokesperson added. The new system was introduced in February last year.

  8. Woman writes terrifying letter about the time she was awake ...

    www.aol.com/lifestyle/2017-03-15-awake-surgery...

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  9. List of medical abbreviations: P - Wikipedia

    en.wikipedia.org/wiki/List_of_medical...

    [letter p with a bar over it] pH Potential of Hydrogen - Acidity of a fluid P: parturition (total number of live births) phosphorus pulse [1] post P OSM: plasma osmolality PA: posterior–anterior, posteroanterior pulmonary artery [[physician assistant or associate [2]]] psoriatic arthritis primary aldosteronism: P&A: percussion and ...