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  2. A patient’s medical chart may contain different note types, documenting office or telemedicine visits (encounters) and patient calls, such as:

    • Consultation notes
    • Second-opinion notes
    • Progress notes
    • Nurse notes
    • Procedure notes
    • SOAP notes
    • Simple notes
    • Phone notes
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    WEBJul 22, 2024 · A patient medical chart, commonly referred to as a patient chart, is a complete and total record of a patient’s clinical data and medical history. Typically, patient charts include...

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    WEBAlso called a medical record, health record, or patient chart, a medical chart refers to documentation that includes a patient’s medical history and clinical data. This record or chart encompasses treatment plans, …

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    WEBJul 4, 2024 · Charting in nursing is the systematic documentation of a patient’s medical history, care provided, observations, interventions, responses, and any other important information around their care. It …

  14. What Are Electronic Health Records (EHRs)? | HealthIT.gov

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