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  2. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    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 ...

  3. 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.

  4. Electronic health record - Wikipedia

    en.wikipedia.org/wiki/Electronic_health_record

    The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations. The EMR, in contrast, is the patient record created by providers for specific encounters in hospitals and ambulatory environments and can serve as a data source for an EHR. [6] [7]

  5. Progress note - Wikipedia

    en.wikipedia.org/wiki/Progress_note

    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.

  6. Hippocratic is building a large language model for healthcare

    techcrunch.com/2023/05/16/hippocratic-is...

    For example, Google recently began previewing Med-PaLM 2, which it claims was the first language model to perform at an expert level on dozens of medical exam questions. ... In healthcare, we ...

  7. UnitedHealth issues breach notification on Change Healthcare hack

    www.aol.com/news/unitedhealth-issues-breach...

    June 20, 2024 at 5:32 PM. By Amina Niasse. NEW YORK (Reuters) - UnitedHealth Group issued a public notice about the February ransomware hack on its Change Healthcare unit on Thursday as part of ...

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