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Source-Oriented Medical Records Source-oriented records are those that are grouped together based on point of origin. The physician's notes are filed together, the nursing records are kept together, and medications, respiratory, lab, and physical therapy are kept together as well.

Today, the SOAP note ? an acronym for Subjective, Objective, Assessment, and Plan ? is the most common method of documentation used by providers to input notes into patients' medical records.

In an alphabetic system, an appointment is made using the patient's name, and the medical record is filed under the patient's name. An indirect filing system assigns a number or other filing device to each individual.

There are three types of medical records commonly used by patients and doctors: Personal health record (PHR) Electronic medical record (EMR) Electronic health record (EHR)

The two major types of patient records are the paper health record and the electronic health record (EHR). The EHR is much more efficient than the paper record, and most healthcare facilities have switched to EHRs for a number of reasons.

Phase 1: Recording, Tracking, and Verifying the Request. ... Phase 2: Retrieving Your PHI. ... Phase 3: Safeguarding Your Sensitive Information. ... Phase 4: Releasing Your PHI. ... Phase 5: Completing the Request and Preparing an Invoice. ... The Value of Using an Electronic Health Information Exchange.

If you get a notebook with pockets, you can keep test results and other health papers in these pockets. Use your computer. Use any software program you're comfortable with, or get software specifically for personal medical records. Use a secure Internet site.