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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.
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 ...
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 ...
Monitoring and evaluation. Monitoring and Evaluation ( M&E) is a combined term for the processes set up by organizations such as companies, government agencies, international organisations and NGOs, with the goal of improving their management of outputs, outcomes and impact. Monitoring includes the continuous assessment of programmes based on ...
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 ...
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 ...
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 ...
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 ...