Medical Record - Purpose

Purpose

The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.

The traditional medical record for inpatient care can include admission notes, on-service notes, progress notes (SOAP notes), preoperative notes, operative notes, postoperative notes, procedure notes, delivery notes, postpartum notes, and discharge notes.

Personal health records combine many of the above features with portability, thus allowing a patient to share medical records across providers and health care systems.

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Famous quotes containing the word purpose:

    Natural selection, the blind, unconscious, automatic process which Darwin discovered, and which we now know is the explanation for the existence and apparently purposeful form of all life, has no purpose in mind. It has no mind and no mind’s eye. It does not plan for the future. It has no vision, no foresight, no sight at all. If it can be said to play the role of the watchmaker in nature, it is the blind watchmaker.
    Richard Dawkins (b. 1941)

    In the present civil war it is quite possible that God’s purpose is something different from the purpose of either party.
    Abraham Lincoln (1809–1865)

    A major misunderstanding of child rearing has been the idea that meeting a child’s needs is an end in itself, for the purpose of the child’s mental health. Mothers have not understood that this is but one step in social development, the goal of which is to help a child begin to consider others. As a result, they often have not considered their children but have instead allowed their children’s reality to take precedence, out of a fear of damaging them emotionally.
    Elaine Heffner (20th century)