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2. Medical record - Wikipedia

   en.wikipedia.org/wiki/Medical_record

   A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...

3. Tips to Get Your Medical Records - WebMD

   www.webmd.com/.../how-to-get-your-health-records

   Step 2: Check your doctor's website. If you visit a medical practice, your doctor may have details on how to request your medical record on their website. Step 3: Call or e-mail your doctor ...

4. How to Document Your Medical History - WebMD

   www.webmd.com/cancer/features/how-to-document...

   According to the National Cancer Institute, the following information is crucial to include in your medical document. Your specific type of cancer. When you were diagnosed. Details about all of ...

5. Admission note - Wikipedia

   en.wikipedia.org/wiki/Admission_note

   Admission notes document the reasons why a patient is being admitted for inpatient care to a hospital or other facility, the patient's baseline status, and the initial instructions for that patient's care. Health care professionals use them to record a patient's baseline status and may write additional on-service notes, progress notes (SOAP ...

6. 8 Ways to Help Your Doctor Make the Right Diagnosis - WebMD

   www.webmd.com/cancer/features/get-right-diagnosis

   2. Write Down Each Symptom. 3. Know Your Medical History. 4. Bring in Your Medications. When you feel sick, achy, or exhausted, you want to know why. You want to know now. But it's not always easy ...

7. Electronic health record - Wikipedia

   en.wikipedia.org/wiki/Electronic_health_record

   Handwritten paper medical records may be poorly legible, which can contribute to medical errors. [13] Pre-printed forms, standardization of abbreviations and standards for penmanship were encouraged to improve the reliability of paper medical records. An example of possible medical errors is the administration of medication.