Orders for the administration of drugs and therapies, test results, x-rays, reports,Įtc. The medical record includes a variety of types of "notes" entered over time by healthĬare professionals, recording observations and administration of drugs and therapies, To describe the systematic documentation of a single patient's medical history andĬare across time within one particular health care provider's jurisdiction. The terms medical record, health record, and medical chart are used interchangeably To request your medical records please use either of the following: Health Information Management Department Medical Records Frequently Asked Questions
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