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Sample view of an electronic health record. An electronic health record (EHR) also known as an electronic medical record (EMR) or personal health record (PHR) is the systematized collection of patient and population electronically stored health information in a digital format. [1] These records can be shared across different health care settings.
It states, amongst other things, the statutory duty of medical personnel to document the treatment of the patient in either hard copy or within the electronic patient record (EPR). This documentation must happen in a timely manner and encompass each and every form of treatment the patient receives, as well as other necessary information, such ...
An identification bracelet is put on the ankle detailing: the name of the patient; date of birth; date and time of death; name of ward (if patient died in hospital); patient identification number. The body is dressed in a simple garment or wrapped in a shroud. An identification label duplicating the above information is pinned to the wrap or ...
Figure 1. Post-mortem phenomena to estimate the time of death. The post-mortem interval (PMI) is the time that has elapsed since an individual's death. [1] When the time of death is not known, the interval may be estimated, and so an approximate time of death established.
Livor mortis (from Latin līvor 'bluish color, bruise' and mortis 'of death'), postmortem lividity (from Latin post mortem 'after death' and lividitas 'black and blueness'), hypostasis (from Greek ὑπό (hypo) 'under, beneath' and στάσις (stasis) 'a standing') [1] [2] or suggillation, is the second stage of death and one of the signs of ...
Another example is the DART system, organized into Description, Assessment, Response, and Treatment. [2] Documentation of care and treatment is an extremely important part of the treatment process. Progress notes are written by both physicians and nurses to document patient care on a regular interval during a patient's hospitalization.
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The first recorded medical audit was done by Sinan Ibnu Thabit, Chief Physician of Baghdad dan Abu Batiha al-Muhtasib (market inspector) at the request of Abbasid Caliph Al-Muqtadir after medical malpractice resulted in death of a patient. Following the investigation, the first medical licensing examination has been introduced, and only ...