对每个“活动”的问题都应在病程记录中记录。
A progress note should be written for each "active" problem.
主诊医生应定期检查病程记录以确保按时完成。
The attending physician should review these notes regularly to ensure compliance.
当书写病程记录时，遵循SOAP的格式会比较有帮助。
When writing progress notes, it's helpful to follow the SOAP format.
应在两个不同的病程记录里记录这些资料来说明每个问题。
These data should all be recorded in two separate progress notes addressing each specific problem.
转科记录包括转出记录和转入记录，是病程记录的一部分。
The transferred record, including transferred-out record and transferred-in record, is a part of progress note.
主诊医生应负起责任，督促低年资医生每天完成病程记录。
It is the attending physician's responsibility to ensure that his junior staff record progress notes daily.
每天在病历中详细记录的病程记录对于病人的评估来说非常有价值。
Detailed daily progress notes recorded in the patient's medical record are valuable for patient assessment.
结果住院志、病程记录、各种辅助报告单存在亟待重视、解决的书写缺陷；
Rusults There are writing deficit in hospitalization record, progress note, various kinds of assist information paper and various consent book.
结果住院志、病程记录、各种辅助报告单存在亟待重视、解决的书写缺陷；
Rusults There are writing deficit in hospitalization record, progress note, various kinds of assist information paper and various consent book.
应用推荐