AMA CPT® Assistant - 1995 Issue 1 (January)
The Key Communication Tool (Spring 1995)
Spring 1995 page 12-end The Key Communication Tool The medical record is an important document for persons involved in treating a patient or in communicating information about a patient's condition or treatment to appropriate third parties. The medical record is a source document of information and data for a wide variety of purposes, most importantly for patient care, but also for use as a legal document and medical research. These principles apply whether the record is an inpatient document or is office based. Technological advances in health care have affected the medical record. New methods of diagnostic testing and...
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