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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. 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. Electronic health record - Wikipedia

   en.wikipedia.org/wiki/Electronic_health_record

   The terms EHR, electronic patient record (EPR) and EMR have often been used interchangeably, but differences between the models are now being defined. 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 ...

5. File:COVID-19 Vaccination Record Card CDC (8-17-2020).pdf

   en.wikipedia.org/wiki/File:COVID-19_Vaccination...

   File:COVID-19 Vaccination Record Card CDC (8-17-2020).pdf. Size of this JPG preview of this PDF file: 710 × 599 pixels. Other resolutions: 284 × 240 pixels | 569 × 480 pixels | 725 × 612 pixels. This is a file from the Wikimedia Commons. Information from its description page there is shown below. Commons is a freely licensed media file ...

6. Medication Administration Record - Wikipedia

   en.wikipedia.org/wiki/Medication_Administration...

   Medication Administration Record. A Medication Administration Record[1] (MAR, or eMAR for electronic versions), commonly referred to as a drug chart, is the report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. The MAR is a part of a patient's permanent record on their medical ...

7. Physicians' Desk Reference - Wikipedia

   en.wikipedia.org/wiki/Physicians'_Desk_Reference

   Physicians' Desk Reference. The Physicians' Desk Reference (PDR), renamed Prescriber's Digital Reference after its physical publication was discontinued, is a compilation of manufacturers' prescribing information (package insert) on prescription drugs, updated regularly and published by ConnectiveRx. [citation needed]

8. Medical certificate - Wikipedia

   en.wikipedia.org/wiki/Medical_certificate

   A medical certificate or doctor's certificate[1][2] is a written statement from a physician or another medically qualified health care provider which attests to the result of a medical examination of a patient. [3] It can serve as a sick note (UK: fit note) (documentation that an employee is unfit for work) or evidence of a health condition.

9. Release of information department - Wikipedia

   en.wikipedia.org/wiki/Release_of_Information...

   A release of information (ROI) department or division is found in the majority of hospitals. In the United States, HIPAA and state guidelines strongly direct the rules and regulations of patient information. ROI departments perform such tasks as obtaining patient consent, certifying medical records, and deciding what information can be released ...