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The Birth Centre midwife had to ensure other appropriate documentation was commenced to record what happened to the woman during and after her transfer: 'I think the biggest thing is making sure that once women deviate from the pathway that they actually go onto other documentation, you know, that you document this and that this is properly documented in the notes etc appropriately.
The two groups had similar ages, severity as documented in the notes, admission RR and admission oxygen saturation (Table 1).
He assured me it was all documented in the notes.
The proportion of creatinine measurements performed according to the monitoring protocol was calculated along with the proportion of CrCl documented in the notes.
Was offer of chaperone documented in the notes?
The diagnostic validity was checked by matching symptoms documented in the notes against ICD-10 criteria.
Similar(44)
Direct evidence that lifestyle counseling documented in the note was copied was not available for the analysis.
Of the nine patients with documented weight gain, three were entered as encounter diagnoses, and six were documented in the note text.
This is expected because the patients' diagnoses were also documented in the clinical notes (e.g. History & Physical notes and discharge summaries).
To assess whether radiographic findings were documented in the clinical notes by the referring medical team.
Discussions and individual integration plans are documented in the consultation notes.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com