Trauma Outpatient Progress note
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
- Short Name
- Trauma OP Prog note
- First Released
- Version 2.73
- Last Updated
- Version 2.73
- Order vs. Observation
Member of these Groups Get Info
|LOINC Group||Group Name|
Language Variants Get Info
|it-IT||Italian (Italy)||Progresso, nota:
Synonyms: Documentazione dell''ontologia Nota di progresso;
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