Record Components Documentation Requirements - Medical RecordsName of UniversityName of StudentDateAbstractWhen a new uncomplaining comes to a twist around s office bearing medical records there are a number of things that the office deficiencys to make incontestable that the enduring has with them . This holds doubly true when dealing with an OB /GYN unhurried who is experiencing a second pregnancy and who had problems with the prototypic pregnancy . When the enduring comes in , the fasten and medical records manager wants to assure that the patient has at a minimum , the desexualize s dictation , the tests that the twist ed regarding the health of the mother and the baby , the hospital records regarding the first pregnancy , basic medical information , and the post natal information regarding her first pregnancyThe doctor s dictation is important because it shows the yack away to visit issues that occurred and how each was resolved .
The dictation allows the new doctor to see the train of thought of the previous doctor in to see the issues that came to light and what was done to resolve them . This gives the new doctor valuable insight into how this particular patient s body operates , and rump be valuable in keeping problems from occurring in the futureThe tests that the doctor ed are also important . This allows the doctor to aim a sense of the health of the patient and to establish a baseline by which to conduct further assessments . It also gives the doctor...If you want to get a full essay, order it on our website:
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