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
Basic Part Properties
- Part Display Name
- Progress note
- Part Type
- Component (Describes the core component or analyte measured)
- Created On
- Construct for LOINC Short Name
- Prog note
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Language Variants Get Info
|Russian (Russian Federation)
Synonyms: Дневник наблюдения
Synonyms: Nota di progresso;
|Note de progrès
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