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and as far as the contents of the medical record on the handout for the PowerPoint presentation that was just given the third slide down here on the front page the last slide talks about the contents of a medical record now you know here it is 2013 does any of this look familiar to you where do you suppose this came from this didnt come just now from florida statutes or from the Department of Health or from the Board of medicines regulations or anything like that I mean this has gone back in the standards of the profession remember the very first class I handed out the minimum standard from the American College of Surgeons early 1900s they were saying most of the things that you have on this list should be in a hospital medical record as of the early 1900s so you know it didnt come from federal regulations or state regulations or state laws it came from the profession itself saying this is what we need to be able to take care of patients properly in a hospital or in a physicians o