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Which is a primary purpose of the patient record


The primary purpose of a medical record is to provide a complete and accurate description of the patient's medical history. This includes medical conditions, diagnoses, the care and treatment you provide, and results of such treatments.

What is the main purpose for a patient record?

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.

What is the primary purpose of a patient health record quizlet?

The primary purpose of patient health record is to document and support patient care services.

What are two secondary purposes of the patient record?

[2] These purposes, known as secondary purposes, include health system management, such as advancing patient safety, resource planning, system evaluation, and quality improvement.

What is on a patient record?

A medical record includes information about a person's: age, gender, and ethnicity. height and weight. medical problems (such as asthma, epilepsy, or diabetes) mental health issues (such as anxiety or depression)