Journal of Clinical and Biomedical Sciences
Year: 2018, Volume: 8, Issue: 4, Pages: 109-112
Review Article
Abinandana R1, Srinivasa Reddy P2*
1. Assistant Professor, Department of Forensic Medicine and Toxicology.
2. Professor and Head, Department of Forensic Medicine and Toxicology, Sri Devaraj Urs Medical College, SDUAHER, Tamaka, Kolar.
*Corresponding Author
E-mail: [email protected]
Mob No: 9449677567
A medical record is a document containing chronologically written account of a patient’s examina-tion and treatment. A medical record apart from case sheet includes investigatory reports, investigatory samples, referral letter, discharge summary etc. Every registered medical practitioner is supposed to main-tain the proper medical report of his / her patient. The Indian government has laid down certain guidelines as to properly preserve the records. As a component of good medical practice it is necessary to maintain the medical records anticipating the litigation anytime.
Key words: Medical records, Documentation, Electronic medical records, Medico legal report.
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