SamaAlmuslim SamaAlmuslim

01-10-2021
Health

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What are the components of medical record file?

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ciprianowilson8 ciprianowilson8

01-10-2021

Answer:

Introduction. Components of a Complete Medical Record. ...
Identification. Identification. ...
Date, History. Date, History. ...
Physical Exam. Physical Exam. ...
Assessment. Assessment. ...
Informed Client Consent. Informed Client Consent. ...
Medical Treatments. Medical Treatments. ...
Surgical Treatments, Anesthesia. Surgical Treatments, Anesthesia.

Explanation:

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Answer Link

ChemMajor ChemMajor

01-10-2021

Answer:

See below

Explanation:

A medical record contains:

Medical History (H&P = History and Physical)

Lab Test Results

Diagnostic Test Results

Problem List

Clinical Notes

Treatment Notes

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