Examlex
Simplify and write with positive exponents only.
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Narrative Charting
A method of documentation that involves a detailed written account of a patient's condition, care, and response during a healthcare encounter.
PIE Documentation
A method of recording nursing care, standing for Problem, Intervention, and Evaluation, aimed at providing detailed and structured documentation.
SOAP Documentation
An organized method of documentation in healthcare that includes four sections: Subjective, Objective, Assessment, and Plan.
Discharge Summary
A document that summarizes a patient's hospital stay, including the reason for admission, the care provided, treatment outcomes, and follow-up plans.
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