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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 ...
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 ...
1. Complete blood count. A routine complete blood count (CBC) checks for levels of 10 different components of every major cell in your blood: white blood cells, red blood cells, and platelets ...
A dental chart, also called a periodontal chart, is where your dental healthcare professional records the condition of your teeth and gums. ... With better home care, for example, gum pockets ...
body temperature. heart rate (the rate of your heartbeat) respiratory rate (rate of breathing) blood pressure. oxygen saturation (the amount of oxygen circulating in your blood) Vital signs are ...
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 ...
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