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2. Medical record - Wikipedia

   en.wikipedia.org/wiki/Medical_record

   The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care. An increasing purpose of the medical record is to ensure documentation of compliance with institutional, professional or governmental regulation.

3. 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 ...

4. Differential Diagnosis Explained, Plus Examples - Healthline

   www.healthline.com/health/differential-diagnosis

   Your doctor may then perform some basic physical or laboratory examinations. Some examples include, but are not limited to: taking your blood pressure. monitoring your heart rate. listening to ...

5. Your Medical History: What It Includes & Why It's Important

   www.webmd.com/a-to-z-guides/what-is-my-medical...

   Your medical history includes both your personal health history and your family health history. Your personal health history has details about any health problems you’ve ever had. A family ...

6. 10 Important Blood Tests: What They Show, Why They're Done, More

   www.healthline.com/health/blood-tests

   diabetes. HIV. anemia. cancer. coronary heart disease. Even if a person does not have heart disease, a blood test can show whether they may be at risk of developing the condition. Other blood ...

7. How to Read Your Cancer Pathology Report - WebMD

   www.webmd.com/cancer/cancer-pathology-results

   A pathology report is a medical document that gives information about a diagnosis, such as cancer. To test for the disease, a sample of your suspicious tissue is sent to a lab. A doctor called a ...

8. What Normal (and Abnormal) Urine Test Results Reveal - Healthline

   www.healthline.com/health/normal-urine-test...

   ketones. presence in urine is abnormal, may indicate diabetes. albumin. presence is abnormal, may indicate kidney disease. protein. presence is abnormal, may indicate kidney disease. bilirubin ...

9. Electronic health record - Wikipedia

   en.wikipedia.org/wiki/Electronic_health_record

   The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations. The EMR, in contrast, is the patient record created by providers for specific encounters in hospitals and ambulatory environments and can serve as a data source for an EHR. [6][7] In contrast, a ...