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Patient check-in is the process where patients begin their registration with the healthcare facility topically using a clipboard, electronic tablet, touch screen, kiosk, or by other method, sometimes self-service. Patient check-in start as far back as the Roman times when patients would wait for special services in purpose-built hospitals.
A MAR or eMAR is a legal record of the drugs administered to a patient by a health care professional. It is part of a patient's medical chart and has a standard format of administrative, prescription and administration details.
A progress note is a part of a medical record where healthcare professionals document a patient's clinical status or achievements. It can be organized in various formats, such as SOAP or DART, depending on the clinical situation and information to record.
Vital signs are a group of medical signs that indicate the status of the body's vital functions, such as temperature, pulse, respiration, and blood pressure. They are used to assess the general physical health of a person, give clues to possible diseases, and show progress toward recovery.
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