Shared Flashcard Set

Details

nformation Technology
Progress Notes
4
Nursing
Not Applicable
03/14/2013

Additional Nursing Flashcards

 


 

Cards

Term

Various formats can be used to complete a progress note.

What is SOAPIE:

Definition

S - Subjective data

 O  – Objective data

 A     – Assessment 

 P                – Plan

 I     – Intervention

E      – Evaluation

Term

Various formats can be used to complete a progress note.

What is PIE:

Definition

P     – Problem

 I – Intervention

 E   – Evaluation

Term

Various formats can be used to complete a progress note.

What is DAR (focus charting)

 

Definition

D        – Data

A      – Action

R – Response

Term
What does HIPAA stand for?
Definition
Health Insurance Portability and Accountability Act
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