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Electronic Medical Record
A digital version of a patient's paper chart, containing the medical and treatment history of a patient within one healthcare provider's office.
Laboratory Data
Information and results obtained from experiments, tests, and analyses carried out in a controlled, scientific setting.
Admission Diagnosis
The initial diagnosis made when a patient is admitted to a hospital, serving as the basis for treatment and management.
History and Physical
The comprehensive process of gathering a patient's medical history and performing a physical examination to guide diagnosis and treatment.
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