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A health record (also known as a medical record) is a written account of a persons health history. It includes medications, treatments, tests, immunizations, and notes from visits to a health care provider.
A medical record is a history of someones health. Most hospitals and doctors offices use electronic health records (EHRs, also called electronic medical records or EMRs). An EHR is a computerized collection of a patients health records.
The Board recommends retaining all patient records for a minimum of 7 years after the last date of treatment, or 7 years after the patient docHubes age 18 - whichever occurs later.
The traditional medical record for inpatient care can include admission notes, on-service notes, progress notes (SOAP notes), preoperative notes, operative notes, postoperative notes, procedure notes, delivery notes, postpartum notes, and discharge notes.
There are three types of medical records commonly used by patients and doctors: Personal health record (PHR) Electronic medical record (EMR) Electronic health record (EHR)
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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 written correctly, notes will support the doctor about the correctness of treatment.
The Medical Record Department is responsible for proper storage, retrieval and maintenance of confidentiality and security of the record. During normal working hours, it is the policy of the hospital to have at least one staff available in the department.
Rhonda Ward - Vice President of Nursing Services, Denver Metro Group, Chief Nursing Officer - Centura Health, Littleton Adventist Hospital | LinkedIn.

littleton adventist hospital medical records