Medical record definition

Medical record means any document or combination of documents, except births, deaths, and the fact of admission to or discharge from a hospital, that pertains to the medical history, diagnosis, prognosis, or medical condition of a patient and that is generated and maintained in the process of medical treatment.
Medical record means a complete record of care rendered by a provider documenting the care rendered to the Enrollee, including inpatient, outpatient, and emergency care, in accordance with all applicable federal, state and local laws, rules and regulations. Such record shall be signed by the medical professional rendering the services.
Medical record has the meaning ascribed to it at Wis. Admin. Code ETF 10.01 (3m).

Examples of Medical record in a sentence

  • In addition, while 82 percent of the patient had a primary care provider assigned to them in the Electronic Medical Record (EMR), only 12 percent of the patients had received the recommended well woman exams within the previous year, which include critical preventive services, such as STI screening (Bougrab et al., 2015).

  • Notwithstanding the foregoing, County Associates shall provide Family Planning information to CalOptima, or authorized representatives of the State or Federal government to maintain consistency of the Member’s Medical Record.

  • The Medical Record is designed to be the permanent record for the person for the duration of their lifetime and afterwards to be used for purposes of medical research for the benefit of future generations in need of healthcare.


More Definitions of Medical record

Medical record or "record" means information, oral or recorded in any form or medium, that pertains to a patient's health care, medical history, diagnosis, prognosis, or medical condition and that is maintained by a licensee in the process of providing medical services.
Medical record means data in any form that pertains to a patient's medical history, diagnosis, prognosis, or medical condition and that is generated and maintained by a health care provider in the process of the patient's health care treatment.
Medical record means the same as:
Medical record means the documentation of a patient’s care that serves as a communication tool for clinical information, support for financial claims, legal evidence, resource for research and statistical quality review, and an educational tool for clinicians.
Medical record means a document that relates to medical or behavioral health services provided to a member by a physician or other licensed practitioner of the healing arts and that is kept at the site of the provider.
Medical record means all documents that relate to medical and behavioral health services provided to a member by a physician or other licensed practitioner of the healing arts and that are kept at the site of the provider.