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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. [1] Reassessment data may be recorded in the Progress Notes, Master Treatment Plan (MTP) and/or MTP review.
The HL7 Consolidated Clinical Document Architecture ( C-CDA) is an XML -based markup standard which provides a library of CDA formatted documents. Clinical documents using the C-CDA standards are exchanged billions of times annually in the United States. [1] [2] [3] All certified Electronic health records in the United States are required to ...
Admission notes document the reasons why a patient is being admitted for inpatient care to a hospital or other facility, the patient's baseline status, and the initial instructions for that patient's care. Health care professionals use them to record a patient's baseline status and may write additional on-service notes, progress notes ( SOAP ...
Daily production report. A daily production report ( DPR) or production report (PR) in filmmaking is the form filled out each day of production for a movie or television show to summarize what occurred that day. There is no standard template for a production report and each show usually has an original template, often created before production ...
Issue log. An issue log is a documentation element of software project management that contains a list of ongoing and closed issues of the project. [1] While issue logs can be viewed as a way to track errors in the project, the role it plays often extends further. Issue logs can be used to order and organize the current issues by type and ...
Report. A report is a document or a statement that presents information in an organized format for a specific audience and purpose. Although summaries of reports may be delivered orally, complete reports are usually given in the form of written documents. [1] [2] Typically reports relay information that was found or observed. [2]
A Gantt chart is a type of bar chart [4] [5] that illustrates a project schedule. [6] This chart lists the tasks to be performed on the vertical axis, and time intervals on the horizontal axis. [4] [7] The width of the horizontal bars in the graph shows the duration of each activity. [7] [8] Gantt charts illustrate the start and finish dates of ...
A report card, or just report in British English – sometimes called a progress report or achievement report – communicates a student 's performance academically. In most places, the report card is issued by the school to the student or the student's parents once to four times yearly. A typical report card uses a grading scale to determine ...