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Medical Record Formats: Helpful or Confounding?

Aug 11, 2014 by ArtiModi

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Attorneys who review medical records quickly learn that they come in all different formats. Handwritten, hybrid and electronic medical records currently simultaneously exist – and often in the same medical record. Let’s look at these different methods of charting. Methods [...]

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Medical records

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What is an Electronic Health Record (EHR)?

Apr 15, 2013 by ArtiModi

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A medical record is the sum total of a patient’s life and health history.  It is an organized documentation of health complaints, diagnostic tests and results, treatments, and outcomes of those treatments. In addition to clinical information, the record should [...]

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Medical records

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6 Key Attributes of a Medical Record

Apr 08, 2013 by ArtiModi

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When I review medical records as a legal nurse consultant, I find that certain characteristics of the record affect my analysis.  1. Accuracy of medical records The accuracy of the data refers to the correctness of the data collected.  It [...]

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