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so up next would be the progress note now I have admitted a patient I need to communicate what is going on with them its meant to really show the progress of treatment it is also known as a clinician node or a physician node there you go and so the question that asks itself is what is a progress note see the progress node has become now a tool of communicating what is happening and kind of aggregate everything that happens with a patient in one standardized place but to start off it may have been just a way for clinicians to kind of document whats going on for themselves and then see the patients from one time to another revising their goals because Im thinking back in history when it was a patients file in my clinic Im the only doctor in the town and patients would come and I just would pull out their file and see what is the last thing we did and what we want to do now the file would have probably consisted of prescriptions and maybe some images and there were fewer labs the pro