Examlex
During the early twentieth century, ________
SOAPIE
A format used by healthcare professionals to document patient care; it stands for Subjective, Objective, Assessment, Plan, Implementation, and Evaluation.
DAR
DAR stands for Data, Action, Response, a format often used in nursing notes to document patient interactions and care provided.
EHR
Electronic Health Records, a digital version of a patient's paper chart, making information available instantly and securely to authorized users.
Accurate Documentation
The practice of precisely recording and maintaining records of patient care, treatments, and interactions within the healthcare setting.
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