Clinical Notes
Clinical notes are detailed records created by healthcare professionals during patient visits. They include important information such as the patient's medical history, symptoms, diagnosis, treatment plans, and any follow-up care needed. These notes help ensure continuity of care and provide a clear understanding of the patient's health status.
These notes are essential for communication among doctors, nurses, and other members of the healthcare team. They also serve as legal documents and can be used for billing purposes. Accurate clinical notes contribute to better patient outcomes by allowing for informed decision-making and effective treatment strategies.