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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. Operative report - Wikipedia

    en.wikipedia.org/wiki/Operative_report

    Operative report. An Operative report is a report written in a patient's medical record to document the details of a surgery. [ 1] 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 ...

  4. Personal health record - Wikipedia

    en.wikipedia.org/wiki/Personal_health_record

    A personal health record (PHR) is a health record where health data and other information related to the care of a patient is maintained by the patient. [1] This stands in contrast to the more widely used electronic medical record, which is operated by institutions (such as hospitals) and contains data entered by clinicians (such as billing data) to support insurance claims.

  5. 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 ...

  6. Electronic health record - Wikipedia

    en.wikipedia.org/wiki/Electronic_health_record

    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 created by providers for specific encounters in hospitals and ambulatory environments and can serve as a data source for an EHR. [ 6][ 7] In contrast, a ...

  7. Traveling to die: The latest form of medical tourism - AOL

    www.aol.com/traveling-die-latest-form-medical...

    Charts and records must be reviewed in the state; neglecting to do so constitutes practicing medicine out of state, which violates medical licensing requirements.

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