100535-4Spinal surgery Outpatient Progress noteActive
LP74253-3 Progress note
Progress Note documents a patient's clinical status during a hospitalization or outpatient visit; thus, it is associated with an encounter.
Taber's medical dictionary defines a Progress Note as "An ongoing record of a patient's illness and treatment. Physicians, nurses, consultants, and therapists record their notes concerning the progress or lack of progress made by the patient between the time of the previous note and the most recent note."
Mosby's medical dictionary defines a Progress Note as "Notes made by a nurse, physician, social worker, physical therapist, and other health care professionals that describe the patient's condition and the treatment given or planned."
A Progress Note is not a re-evaluation note. A Progress Note is not intended to be a Progress Report for Medicare. Medicare B Section 1833e defines the requirements of a Medicare Progress Report. Source: HL7
- Progress note
- Spinal surgery
- Short Name
- Spinal surgery OP Prog note
- First Released
- Version 2.73
- Last Updated
- Version 2.73
- Order vs. Observation
Member of these Groups
Language Variants Get Info
- zh-CNChinese (China)
发现: 时间点: 门诊病人: 文档型: 脊柱外科学
- it-ITItalian (Italy)
- Progresso, nota:
Osservazione: Pt: Paziente esterno: Doc: Chirurgia spinale
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