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Storing patient care documentation is the most important function of a health record. As a result, clinical professionals who provide direct patient care are the primary users of the health record.

A comprehensive document providing the patients' past medical history, personal and contact details, health information, habits, living standards and family medical history with their consent to the terms and conditions.

Key components of a medical record: Patient demographic data such as age, sex, nationality, etc. Social screenings such as their profession, etc. Information about their genetics. Medical history and diagnosis received so far. List of medicines. List of vaccinations the patient has received. Lab test results.

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.

Medical records are essential documents that outline a patient's medical history and current health status. They are a necessary part of the healthcare system, providing healthcare providers with vital information to make sound clinical decisions.

The Six C's of Medical Records Client's Words, Clarity, Completeness, Conciseness, Chronological Order and Confidentiality. Client's Words ? a medical assistant should always record the patient's exact words.

Medical records are an important tool in the practice of Medicine. This serves as a means of communication between the physician and other professional groups contributing to patient care. They furnish documentary evidence of the course of patient's illness and treatment.