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Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.
Abbreviation for electronic health record.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012
1. A written account of something. See: problem-oriented medical record
2. In dentistry, a registration of jaw relations in a malleable material or on a device.
Notes used in nursing education to document observed incidents of a student's clinical behavior related to attainment of clinical learning objectives. Such anecdotal notes have not been treated as hearsay evidence in a court but have been upheld as documented evidence for failing a student.
electronic health recordAbbreviation: EHR
Electronic medical record.
electronic medical recordAbbreviation: EMR
A computerized database that typically includes demographic, past medical and surgical, preventive, laboratory and radiographic, and drug information about a patient. It is the repository for active notations about a patient's health. Most EMRs also contain billing and insurance information and other accounting tools.Synonym: electronic health record
functional chew-in record
A record of the natural chewing action of the mandible made on an occlusion rim by the teeth or scribing studs.
interocclusal recordBite plate.
A written transcript of information obtained from a patient, guardian, or medical professionals concerning a patient's health history, diagnostic tests, diagnoses, treatment, and prognosis.
medication administration recordAbbreviation: MAR
A file maintained on hospital units that documents the schedule and dosing of medications given to patients.
open medical record
A medical record accessible by the patient for his or her personal review.
personal health record
A summary of a patient's health care status (allergies, drugs taken, past hospitalizations, lab tests, radiology results, and surgeries) that is kept by the patient privately rather than stored in a hospital or third-party database.
Medical Dictionary, © 2009 Farlex and Partners