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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. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    SOAP note. The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient 's chart, along with other common formats, such as the admission note. [ 1][ 2] Documenting patient encounters in the medical record is an integral part of practice ...

  4. 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. [13] 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.

  5. Police are using pharmacies to secretly access medical ...

    www.engadget.com/police-are-using-pharmacies-to...

    A Senate Finance Committee inquiry revealed on Tuesday that police departments can get access to private medical information from pharmacies, no warrant needed. While HIPAA may protect some access ...

  6. Medication Administration Record - Wikipedia

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

    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 chart.

  7. Millions of patient scans and health records spilling online ...

    techcrunch.com/2023/12/06/medical-scans-health...

    Thousands of exposed servers are spilling the medical records and personal health information of millions of patients due to security weaknesses in a decades-old industry standard designed for ...

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