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SOAP note. The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient 's chart, along with other common formats, such as the admission note. [1][2] Documenting patient encounters in the medical record is an integral part of practice ...
Quad chart. A quad chart is a form of technical documentation used to briefly describe an invention or other innovation through writing, illustration and/or photographs. [1] Such documents are described as "quad" charts because they are divided into four quadrants laid out on a landscape perspective. [2][3][4] They are typically one-page only ...
A technical report (also scientific report) is a document that describes the process, progress, or results of technical or scientific research or the state of a technical or scientific research problem. [1][2] It might also include recommendations and conclusions of the research. Unlike other scientific literature, such as scientific journals ...
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 ...
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 ...
Progress notes are written by both physicians and nurses to document patient care on a regular interval during a patient's hospitalization. Progress notes serve as a record of events during a patient's care, allow clinicians to compare past status to current status, serve to communicate findings, opinions and plans between physicians and other ...
Progress, plans, problems. Progress, plans, problems (PPP) is a management technique for recurring (daily, weekly or monthly) status reporting. A person reports 3-5 achievements, goals and challenges from the reporting period. It is used in organizations in situations like employee to manager, team member to team or CEO to board, investors 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]