Enter the characters you see below Sorry, we just need medical school personal statements make sure you’re not a robot. Enter the characters you see below Sorry, we just need to make sure you’re not a robot. Jump to navigation Jump to search This article is about the documentation of a patient’s medical history.
For digital records, see electronic health record. The terms medical record, health record, and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient’s medical history and care across time within one particular health care provider’s jurisdiction. The terms are used for both the physical and metal folder that exists for each individual patient and for the body of information found therein. Because many consider the information in medical records to be sensitive private information covered by expectations of privacy, many ethical and legal issues are implicated in their maintenance, such as third-party access and appropriate storage and disposal. The information contained in the medical record allows health care providers to determine the patient’s medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient’s care. Personal health records combine many of the above features with portability, thus allowing a patient to share medical records across providers and health care systems.