Page 6 - Law And Rules Regarding Medical Record
P. 6
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Medical Records
• Medical records cover an array of documents that are generated as a result of
patient care. These include:
• Hand-written contemporaneous notes taken by the health care practitioner
• Notes taken by previous practitioners attending health care or other health care
practitioners, including a typed patient discharge summary or summaries
• Referral letters to and from other health care practitioners
