NURSING ANM AND GNM

Detailed explanation-1: -The terms medical record, health record and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient’s medical history and care across time within one particular health care provider’s jurisdiction.

Detailed explanation-2: -In general, a medical history includes an inquiry into the patient’s medical history, past surgical history, family medical history, social history, allergies, and medications the patient is taking or may have recently stopped taking.

Detailed explanation-3: -The Medical Records Department(MRD) prime objective is the provision of patient Medical Records in a timely manner to different hospital units in order to assist clinicians, allied health professionals and other hospital staff in the provision of quality care to patients.

Detailed explanation-4: -A patient record is the repository of information about a single patient. This information is generated by health care professionals as a direct result of interaction with a patient or with individuals who have personal knowledge of the patient (or with both).