Medical records.

 

1) Discuss the different types of medical records.
2) Our industry is moving towards electronic medical records. What is the reason for this? Do you think this will be a positive change? Why or why not?
3) What are some of the pros and cons of medical records being completely electronic?

 

 

Sample Solution

Medical records.

The terms medical record, health record, and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient`s medical history and care across time within one particular health care provider`s jurisdiction. The different types of medical records include: medical history record, patient information leaflet, discharge summary, medical test, mental status examination, and operative report. Medical history record, for example, summarizes a patient`s medical history and also includes some notes and remarks made by healthcare specialists. It can be used in a clinical environment, and the medical and healthcare translator should never misunderstand the contained information.

 

 

 

 

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