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iRubric: Progress Note (DRAFT 2) rubric

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Progress Note (DRAFT 2) Diagnosis Appropriate DRAFT -2- For use in quality review of chiropractic clinical records. Rubric Code: T3XAAW By JP_NYCC Ready to use Public Rubric Subject: Medical Type: (Other) Grade Levels: Graduate

DC File Review Progress Note
	Very poor Red 0 pts	Unacceptable Red 1 pts	Acceptable Yellow 2 pts	Good Green 3 pts	Exceptional Blue 4 pts
1. Subjective	Very poor Missing	Unacceptable Recorded for all visits but incomplete. Some required elements missing or difficult to decipher.	Acceptable All required elements recorded for all visits. Detail is adequate but minimal.	Good Notes are thorough and well written. Easy to decipher.	Exceptional Notes are comprehensive and exceptionally well written.
2. Objective	Very poor Missing	Unacceptable Recorded for all visits but incomplete. Some required elements missing or difficult to decipher.	Acceptable All required elements recorded for all visits. Detail is adequate but minimal.	Good Notes are thorough and well written. Easy to decipher.	Exceptional Notes are comprehensive and exceptionally well written.
3. Assessment	Very poor Missing	Unacceptable Recorded for all visits but incomplete. Some required elements missing or difficult to decipher.	Acceptable All required elements recorded for all visits. Detail is adequate but minimal.	Good Notes are thorough and well written. Easy to decipher.	Exceptional Notes are comprehensive and exceptionally well written.
4. Plan	Very poor Missing	Unacceptable Recorded for all visits but incomplete. Some required elements missing or difficult to decipher.	Acceptable All required elements recorded for all visits. Detail is adequate but minimal.	Good Notes are thorough and well written. Easy to decipher.	Exceptional Notes are comprehensive and exceptionally well written.