Medical records

Sujit Nilegaonkar; Padmaj S Kulkarni

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Medical records

机译：病历

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Whenever thereis interaction ofa patient with a doctor or hospital,a newmedicalrecord is generated. Itmay bein theformofan outpatient department (OPD)paper,emergency services, inpatient department notes, orany laboratory or radiologicalreports. Amedicalrecord isalegal document ofthecare provided. Allrelevant information about the patient during his hospitalstay is recorded,and it isessentialfor properclinicalcommunication. Theserecordsareessentialforrecognizing the disease pattern,assessing the quality oftreatment,and evaluating the outcome oftreatment.

机译：每当有医生或医院的患者的互动时，产生了一种新的医疗。 ITMay Bein Theformofan门诊部门（OPD）纸，紧急服务，住院部门票据，俄罗斯实验室或辐射工程报告。提供的AmedicalRecord Isalegal文件提供。记录了关于患者的所有相关信息，并记录了患者，并且它是正当杂乱的信息。 TheSERCORDSAREESSENCEFORCORPIZED疾病模式，评估质量的特征，评估结果的结果。

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《Indian Journal of Medical and Paediatric Oncology》 |2020年第1期|共2页
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Sujit Nilegaonkar; Padmaj S Kulkarni;
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Medical records

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