Things Documented In A Medical Record
| A medical record systematically documents every single treatment, prescription, medication, diagnostic tests, lab reports, discharge summaries, observations or notes by different medical experts over a long period of time. In addition it contains basic details like the name, date of birth, family history, allergic medications and immunization history of the individual concerned. More...
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Regulations For Medical Record Storage
Federal regulations and even state laws enforce every hospital and doctor to preserve the medical records of every patient and restrict access to sensitive information of the individual.More...
How To Read A Medical Record
Medical records contain many important details of the individual. Firstly, the basic details like the name and date of birth is written. In addition, the notes or observations of doctors, family history, immunizations, treatment, prescriptions and medications, diagnostic tests, allergic reactions to medications, etc are recorded.More...
What Is An Electronic Medical Record ?
Electronic medical record stores the medical history of the patient in a digital format. In the recent years, government and other private organizations have gradually shifted from paper records to electronic format due to the various advantages of easy retrieval and storage of data. These digital records are also supported by advocates who specialize in patients’ rights. More...
Who Owns Electronic Medical Record Data ?
Medical records are an important confidential document that contains sensitive information like treatment, diagnosis, illness history, prescriptions and observations of the medical practitioner. The confidentiality of information cannot be compromised at any cost. However, in some legal cases, these records need to be produced in front of the court.More...
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