Purposes of Medical Records
A medical record provides continuity of care between providers and other healthcare professionals by documenting the patient's history, diagnoses, and treatments.
Purposes of Medical Records
Complexity: Easy
A medical record provides continuity of care between providers and other healthcare professionals by documenting the patient's history, diagnoses, and treatments.
Length: 1 minutesComplexity: Easy
Learn about the types of medical records that you're likely to see.
Complexity: Easy
A chart note, or progress note, is a complete, narrative description.
Complexity: Easy
Documenting patient encounters in the medical record is an important part of the practice's workflow.
Complexity: Easy
Here for routine follow up.
Complexity: Easy
Example of a Progress Note
Length: 1 minutesComplexity: Easy
A history and physical (or H&P) helps the physician make a diagnosis.
Length: 10 minutesComplexity: Standard
Sections of an H&P
Length: 45 minutesComplexity: Hard
Common H&P Terminology
Complexity: Hard
Example #1