Progress Note
This profile represents a patient's clinical status during a hospitalization, outpatient visit, treatment with a LTPAC provider, or other healthcare 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 1833(e) defines the requirements of a Medicare Progress Report.
Metadata
hl7.org/fhir- Canonical URL
- http://hl7.org/fhir/us/ccda/StructureDefinition/Progress-Note
- ID
- Progress-Note
- Type
- Base Definition
- US-Realm-Header
- Derivation
- constraint
Elements with cardinality > 0 or marked as Must Support (S)