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
Learn about the types of medical records that you're likely to see.
A chart note, or progress note, is a complete, narrative description.
Documenting patient encounters in the medical record is an important part of the practice's workflow.
Here for routine follow up.
Example of a Progress Note
A history and physical (or H&P) helps the physician make a diagnosis.
Sections of an H&P
Common H&P Terminology