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hi this is Dr A in your third video on introduction to medical terminology we are going to look at the medical record and healthcare settings okay so in a medical record and this is whether this is an old paper record or a an electronic medical record you are still going to have all of these divisions and areas where you can find information so the history and physical is written by the admitting physician and details the patients history exam results initial diagnosis and the physicians plan of treatment it is often followed by the physicians orders and these are the orders that the doctor has written um often times now in electronic medical records the doctors can enter their own orders into the system um but when we had paper records and those were you know absolutely everywhere there was you know orders were written on a sheet of paper and then the secretaries would have to decipher the orders and put them into the various computer systems but a physicians orders is going to
