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Patient's Medical Record
A comprehensive document containing a patient's health history, treatment plans, and medical care received over time.
CHEDDAR Format
A method of organizing medical records based on Chief Complaint, History, Examination, Details, Drugs and dosages, Assessment, and Return visit, facilitating comprehensive patient documentation.
Diagnosis
Recognizing the character of a disorder or problem by evaluating the signs.
Medical Records
Documentation pertaining to a patient's medical history and care.
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