Examlex
The ________ function is very flexible because you can manipulate each part individually or together in any combination that meets your needs.
Symptoms
Signs or indications of a disease, disorder, or other health condition, often recognized through patient self-report or observation.
SOAP Documentation
A method of documentation in healthcare that stands for Subjective, Objective, Assessment, and Plan, used by health care providers to write out notes in a patient's chart.
Medical Record
A comprehensive file containing a patient's personal, medical, and treatment history, used by healthcare providers for continuity of care.
Documentation
The act of recording information, events, or processes in a systematic manner, often for legal, historical, or informational purposes.
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