Identification
- Label (rdfs)
- Medical Record
- Preferred Label
- Health Care Record
- Alternative Labels
- Medical Documentation
- Identifier
- N/A
Definition and Examples
- Definition
- A medical record is a comprehensive and confidential document that contains a patient's medical history, including information about their medical conditions, diagnoses, treatments, prescriptions, and interactions with healthcare providers. These records are typically maintained by healthcare institutions and practitioners to track and manage a patient's health and treatment over time, and they are essential for providing continuity of care and ensuring accurate medical documentation.