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2. Medical record - Wikipedia

   en.wikipedia.org/wiki/Medical_record

   The advent of electronic medical records has not only changed the format of medical records but has increased accessibility of files. The use of an individual dossier style medical record, where records are kept on each patient by name and illness type originated at the Mayo Clinic out of a desire to simplify patient tracking and to allow for ...

3. SOAP note - Wikipedia

   en.wikipedia.org/wiki/SOAP_note

   [1] [2] Documenting patient encounters in the medical record is an integral part of practice workflow starting with appointment scheduling, patient check-in and exam, documentation of notes, check-out, rescheduling, and medical billing. [3] Additionally, it serves as a general cognitive framework for physicians to follow as they assess their ...

4. Attending physician statement - Wikipedia

   en.wikipedia.org/wiki/Attending_physician_statement

   An attending physician statement (APS) is a report by a physician, hospital, or medical facility that has treated, or is currently treating, a person seeking insurance. [1] In traditional underwriting, an APS is one of the most frequently ordered additional sources of medical background information. The APS is one of the more expensive ...

5. Medical certificate - Wikipedia

   en.wikipedia.org/wiki/Medical_certificate

   A medical certificate can also be obtained online through telemedicine platforms, such as MedBond, which offer authentic medical certificates. An aegrotat ( / ˈ iː ɡ r oʊ t æ t / ; from Latin aegrotat 'he/she is ill') [ 5 ] or 'sick note' is a type of medical certificate excusing a student's absence from school for reasons of illness .

6. Electronic health record - Wikipedia

   en.wikipedia.org/wiki/Electronic_health_record

   Handwritten paper medical records may be poorly legible, which can contribute to medical errors. [14] Pre-printed forms, standardization of abbreviations and standards for penmanship were encouraged to improve the reliability of paper medical records. An example of possible medical errors is the administration of medication.

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9. Medical transcription - Wikipedia

   en.wikipedia.org/wiki/Medical_transcription

   Medical transcription as it is currently known has existed since the beginning of the 20th century when standardization of medical records and data became critical to research. [1] [2] At that time, medical stenographers recorded medical information, taking doctors' dictation in shorthand. With the creation of audio recording devices, it became ...