Posted by nursingadmissionessayhelp on February 27, 2018 at 9:00 PM
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A health record is a collection of a patient's personal health information and medical records. The information therein should be well organized and up-dated after visiting a doctor for checkup or treatment.
A standard, accurate health record should be legible and clear to understand. It should at a minimum contain:
- Medical history
- Examination findings
- Provisional diagnosis
- Any other agreed diagnosis
- A management plan in...
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