Examlex
Which of the following means a substance that produces insensitivity or stupor?
Chart Entry
The act of recording patient information, clinical findings, interventions, and other relevant data into their medical record, consistent with healthcare documentation practices.
SOAP Format
A structured method for documenting patient care, standing for Subjective, Objective, Assessment, and Plan.
Subjective Data
Information derived from an individual's personal opinions, feelings, and perspectives, often collected during medical history taking or interviews.
Visit Clearing
The process of finalizing all administrative and procedural tasks associated with a patient's visit to a healthcare facility.
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