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Medical Records

Medical records are legal, written records concerning a patient's medical history, psychiatric history, chief complaint, symptoms, assessment and testing, diagnoses, symptoms, treatments and procedures, medications, and outcomes or responses. All medical professionals are required to document information in their patients' medical records. This category includes the common medical and legal forms patients must complete, what information might be written into a patient's record, how to obtain a copy of your patient record, and how to correct errors in your medical or mental health record.

500 Questions

When using a patient medical record number 79 38 27 what statements is true of terminal and middle digit filing?

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when using terminal digits filing method, the 79 is secondary

Is this correct She request a copy of her medical record?

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She requested a copy of her medical records.

What types of correspondence are sent to patients in the doctor's office?

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they have records which show the patients performance over time.

What are the importance of medical record keeping?

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The importance of medical record keeping is keeping a treatment record of a patient that allows medical professionals to know the patient's past

What means SNF?

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In SNFs the care plan format is called