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Saint Alphonsus is a member of Trinity Health, the second largest Catholic health care system in the nation. Trinity Health is based in Livonia, Michigan.
At the first patient encounter, the physician should have the patient sign an authorization to release information as necessary for the patients treatment. This includes release to consulting physicians, laboratories, and other health care providers.
The medical record including specialty referrals, progress notes, and laboratory results is usually the key evidence in a professional liability action. The record is critical in helping the provider recall events that might have occurred years earlier.
Medical records are the document that explains all detail about the patients history, clinical findings, diagnostic test results, pre and postoperative care, patients progress and medication.
If you get a notebook with pockets, you can keep test results and other health papers in these pockets. Use your computer. Use any software program youre comfortable with, or get software specifically for personal medical records. Use a secure Internet site.
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People also ask

Here are the main components of a medical record: The patients demographics, such as height, age, ethnicity, gender, weight, etc. A list of medicines prescribed to the patient, their dosage, and how often they should be taken. Treatment and diagnosis received by the patient previously and their medical history.
The 8 Principles are: Accountability, Transparency, Integrity, Protection, Compliance, Accessibility, Retention and Disposition. These are the Principles of good management of Records.

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