A person's (patient) medical record is the history of what medical illnesses and the medicine prescribed the person received to date.
The importance of medical record keeping is keeping a treatment record of a patient that allows medical professionals to know the patient's past
Tympanogram is the medical term for a record of the eardrum.
A pneumogram is the medical term meaning record of the lung.
The medical record is a legal document.
Mammogram is the medical term meaning record of a breast.
For the court's purpose, if documentation does not appear in the medical record
Medical term for record of electricity is electromyogram
Medical history
No deletions should be made, as the medical record is also a legal document. But an amending notation should be made and added to the medical record.
S = Source O = Oriented M = Medical R = Record A format of using Source approach example Radiology Report Laboratory Report Surigical Report
MAR in medical terms stands for Medication Administration Record
The original medical record is owned by the doctor or hospital. However, you have the right to copies.