Patient History -The Integral Part Of Medical Report
Modern medicine practices are ethically bound to documentation of the data generated during patient’s treatment. Documenting complete information of the illness and treatment has generated enormous medical records. It can be history record/initial visit record, admission form, operative report, follow-up visit, therapy note, pharmacy note, discharge note or death report also. In all these reports, patient’s history is one of the essential element which is captured.
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