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What Are The Main Sections Of A Medical Record?

Answer»

A medical record file GENERALLY consists of a personal identification section with person’s contact details, marital status, children and spouse details followed by a medical history section that summarizes all PREVIOUS ILLNESSES, a family history section and a medication section containing information of previously administered MEDICATIONS and their reactions on the body. Additional sections with record of surgeries and known ALLERGIES are also included if applicable.

A medical record file generally consists of a personal identification section with person’s contact details, marital status, children and spouse details followed by a medical history section that summarizes all previous illnesses, a family history section and a medication section containing information of previously administered medications and their reactions on the body. Additional sections with record of surgeries and known allergies are also included if applicable.



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