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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. Medical certificate - Wikipedia

   en.wikipedia.org/wiki/Medical_certificate

   Other times medical criteria are presented voluntarily by an applicant in a self-assessment, without either a doctor or access to the person's medical record. Specific health criteria or medical history are required for certain jobs. In the United States, most aviators are required to possess a valid medical certificate that certifies sound ...

4. Health information management - Wikipedia

   en.wikipedia.org/wiki/Health_information_management

   The patient health record is the primary legal record documenting the health care services provided to a person in any aspect of the health care system. The term includes routine clinical or office records, records of care in any health related setting, preventive care, lifestyle evaluation, research protocols and various clinical databases.

5. Operative report - Wikipedia

   en.wikipedia.org/wiki/Operative_report

   The operative report is dictated right after a surgical procedure and later transcribed into the patient's record. The operative report includes preoperative and postoperative diagnoses, patient condition after surgery, all medications used in association with the procedure, pertinent medical history (Hx) , physical examination (PE), consent ...

6. From passwords to medical records,10 things to never say to ...

   www.aol.com/passwords-medical-records-10-things...

   Medical or health data: AI isn’t Health Insurance Portability and Accountability Act-compliant, so redact your name and other identifying info if you ask AI for health advice. Your privacy is ...

7. Admission note - Wikipedia

   en.wikipedia.org/wiki/Admission_note

   An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care. [1]