medical record

medical record
A record kept in the office of a physician or surgeon or in a hospital of observations made in the course of a medical examination of a patient, of treatment administered to him, and of surgery performed upon him.

Ballentine's law dictionary. . 1998.

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  • medical record — n a record of a patient s medical information (as medical history, care or treatments received, test results, diagnoses, and medications taken) …   Medical dictionary

  • Medical record — For the New York journal published by the Washington Institute of Medicine, see Medical Record (journal). For the BBC Radio 4 medical programme, see Case Notes (radio show). The terms medical record, health record, and medical chart are used… …   Wikipedia

  • Medical Record (journal) — The Medical Record: A Weekly Journal of Medicine and Surgery was founded in 1866 by George Frederick Shrady, Sr. who was its first editor in chief.[1] Thomas Lathrop Stedman became assistant editor in 1890 and editor in chief in 1897.[2] It was… …   Wikipedia

  • Medical record mix up — A medical record mix up (also known as a medical flaw, or medical screw up for slang) is when a nurse or anyone working in a doctor s office mixes up a patient s medical files and/or records. For instance, suppose a patient named John Smith comes …   Wikipedia

  • medical record — noun the case history of a medical patient as recalled by the patient • Syn: ↑medical history, ↑anamnesis • Derivationally related forms: ↑anamnestic (for: ↑anamnesis) • Hypernyms: ↑ …   Useful english dictionary

  • medical record — noun Details about a patients previous medical experiences, such as operations and medications taken. Syn: medical history …   Wiktionary

  • Electronic medical record — An electronic medical record (EMR) is a medical record in digital format.In health informatics an EMR is considered by some to be one of several types of EHRs (electronic health records), but in general usage EMR and EHR are synonymous. [cite… …   Wikipedia

  • [syndrome]; alternate motion rate; alternating motion reflex; ambulatory medical record — American Medical Record Association …   Medical dictionary

  • Medical transcription — Medical transcription, also known as MT, is an allied health profession, which deals in the process of transcription, or converting voice recorded reports as dictated by physicians and/or other healthcare professionals, into text format. Contents …   Wikipedia

  • Medical software — Logo, by Harry Gouvas In computers, medical software is a significant branch of software engineering. Many medical devices that monitor or control patients are predominantly controlled by software. Medical devices are frequently regulated and… …   Wikipedia

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