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Medical records are the document that explains all detail about the patient's history, clinical findings, diagnostic test results, pre and postoperative care, patient's progress and medication. If written correctly, notes will support the doctor about the correctness of treatment.
Patient data and information administrative ? details of appointments, or whether they are waiting for a place in a health and care setting such as a care home or hospital ward. medical ? information such as symptoms, diagnosis, weight, medicines, treatments and allergies.
Medical records are the document that explains all detail about the patient's history, clinical findings, diagnostic test results, pre and postoperative care, patient's progress and medication. If written correctly, notes will support the doctor about the correctness of treatment.
Discharge records are filed alphabetically by discharge year. This method is commonly used when there is limited space in the health information department to retain more than one year of discharge records. Alphabetic filing provides the easiest method for retrieval of records.
Three types of numeric filing systems are commonly used for filing medical records- straight numeric, terminal digit, and middle digit.