Clinic Record System Capstone Project Document


Clinic Record System Capstone Project Document Introduction Patient record is a collection of documents that provides an account of each episode in which a patient sought treatment and received care or a referral from a health care facility. The record is confidential and is usually held by the facility, and the information in it is released only to the patient or with the patient’s written permission. It contains the initial assessment of the patient’s health status, the health history, laboratory and radiological reports of tests performed, notes by nurses, physicians, notes by consultants, as well as order sheets, medication sheets, [...]