record

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record

 [rek´ord]
1. a permanent or long-lasting account of something, such as in writing or on film.
2. in dentistry, a registration.
bibliographic record an index record standing for or representing a journal article, book, or other document.
Problem-Oriented record (Problem-Oriented Medical record) see problem-oriented record.

rec·ord

(rek'ŏrd),
1. In medicine or dentistry, a chronologic written account that includes a patient's initial complaint(s) and medical history, physical findings, results of diagnostic tests and procedures, any therapeutic medicines or procedures, and subsequent developments during the course of the illness.
2. In dentistry, a registration of desired jaw relations in a plastic material or on a device to permit these relationships to be transferred to an articulator.
[M.E. recorden, fr. O.Fr. recorder, fr. L. recordor, to remember, fr. re-, back, again, + cor, heart]

record

/rec·ord/ (rek´erd)
1. a permanent or long-lasting account of something (as on film, in writing, etc.).
2. in dentistry, a registration.

problem-oriented record  (POR) a method of patient care record keeping that focuses on specific health care problems and a cooperative health care plan designed to cope with the identified problems. The components of the POR are: data base, which contains information required for each patient regardless of diagnosis or presenting problems; problem list, which contains the major problems currently needing attention; plan, which specifies what is to be done with regard to each problem; progress notes, which document the observations, assessments, nursing care plans, physician's orders, etc., of all health care personnel directly involved in the care of the patient. See also SOAP.

record

[rek′ərd]
a written form of communication that permanently documents information relevant to the care of a patient.

record

Graduate education-UK
Conference of Postgraduate Medical Deans record, see there.

Lab medicine-UK
Data placed on a form which provides evidence of fulfilment of intent.

record

Medtalk A permanent document in the form of a writing, files, photographs, etc. See Electronic medical record, Medical record, Medical administration record, Open record, Patient record, Problem-oriented medical record, Sealed record. Cf Chart.

re·cord

(rek'ŏrd)
1. A chronologic written account that includes a patient's initial complaint(s) and medical history, the physician's physical findings, the results of diagnostic tests and procedures, and any therapeutic medications or procedures.
Compare: health record
2. dentistry A registration of desired jaw relations in a plastic material or on a device to permit these relationships to be transferred to an articulator.
3. To place in a graph (e.g., electrocardiogram) automatically.

re·cord

(rek'ŏrd)
1. In dentistry or medicine, written account that includes a patient's initial complaint(s) and medical history, physical findings, tests results, any therapeutic medicines or procedures or treatment, and subsequent developments during illness.
Synonym(s): medical record.
2. In dentistry, registration of desired jaw relations in a plastic material or on a device to permit these relationships to be transferred to an articulator.

record,

n information committed to and preserved in writing or electronically.
record base,
record, centric interocclusal,
n a record of the centric jaw position (relation).
record, eccentric interocclusal
n a record of a jaw relation other than the centric relation; a record of a lateral eccentric jaw position.
Enlarge picture
Eccentric interocclusal record.
record, face-bow,
n registration, by means of a face-bow, of the position of the mandibular axis or the condyles. The face-bow record is used to orient the maxillary cast to the opening and closing axis of the articulator.
record, functional chew-in,
n 1. a record of the natural chewing movement of the mandible made on an occlusion rim by teeth or scribing studs.
n 2. a record of the movements of the mandible made on the occluding surface of the opposing occlusion rim by teeth or scribing studs and produced by simulated chewing movements.
record, interocclusal,
n a record of the positional relation of the teeth or jaws to each other; made on occlusal surfaces of occlusal rims or teeth in a plastic material that hardens, such as plaster of paris, wax, zinc oxide-eugenol paste, or acrylic resin.
record, jaw relation,
n a registration of any positional relationship of the mandible in reference to the maxillae. The record may be of any of the many vertical, horizontal, or orientation relations.
record, maxillomandibular relationship,
n See record, interocclusal.
record, occluding centric relation,
n a registration of centric relation made at the vertical dimension at which the teeth make contact or are to make contact.
record, patient, legal aspects of,
n.pl record must include proper identification of patient, signed consent forms, a complete medical and dental history, progress notes, and clinical observations from patient examinations. Improper record-keeping is grounds for malpractice. Records are also strictly confidential–unauthorized or inappropriate disclosure is an invasion of privacy and liable for legal action.
record, plaque control,
n document used to measure and assist the progress of a patient undertaking a more purposeful approach to controlling bacterial plaque.
record, preoperative,
n a record or records made for the purpose of study, diagnosis, or use in treatment planning or for comparison of treatment results with the pretreatment status of the patient.
record, profile,
n a registration or record of the profile of a patient's face.
record, protrusive,
n a registration of the relation of the mandible to the maxillae when the mandible is anterior to its centric relation with the maxillae.
record, protrusive interocclusal,
n a record of a protruded eccentric jaw position.
record rim,
record, terminal jaw relation,
n a record of the relationship of the mandible to the maxillae made at the vertical relation of the occlusion and at the centric position.
record, three-dimensional,
n a maxillomandibular interocclusal record.

record

a permanent or long-lasting account of something (as on film, in writing, etc.); see also medical records.

Patient discussion about record

Q. ex-wife works in hospital and accesses my and my familys medical records what can i/we do about this legally this is done without any consent she has computer acess to any records and accesses them upon her own

A. If you are sure of this she is breaking the law...Hippa protects patient right and this is a clear voliation of those right. I suggest you get a copy of the hospitals Right to Privacy , HIPPA paperwork. Then If you can prove this write a letter to hospital admenistration and one to her supervisor and/or director. Let them know you know this is a violation of patient rights and you want it dealt with immediatly or you will seek out legal council. They should responded to your letter in avery timely matter. If you do not have proof discuss with someone in medical record about the "need to know" bases and if ther eis no reason for her to know this information( she could be one tha thas to put it on your records) you would like to be assured she has no access to them and if she is doing a job that would give her the right ask that they please have someone else in the department handle you and your family dure to personal reasons. I encourage you to handle this in a very proffesi

More discussions about record
References in periodicals archive ?
Note from Editor We are happy to set the record straight.
This revision of history seeks to set the record straight about the roles of Alexander Fleming, Howard Florey, and Ernst Chain in the creation of penicillin and the advent of modern medicine AS Lax reports, Fleming discovered a stray mold's potential against bacteria in a chance observation and subsequently coined the term penicillin.
I AM a staff member at Safeway and want to set the record straight over claims we had an advantage in getting tickets for the Scotland v Holland game.
This book seeks to set the record straight through the examination of some of the most significant engineers working today, together with a selection of the most remarkable recent buildings'.
With so much conflicting information out there, it's time to set the record straight.
33) contained several inaccuracies and I would like to take this opportunity to set the record straight on two of the most egregious errors.
Whether puttering (in his garden), putting (on his backyard green) or pontificating (to students) to set the record straight on the unique aspects of Hollywood/film industry accounting, Stephen Taylor exudes a joie de vive, even though he hails from jolly old England.
He thought Calvin Hoffman's 1955 book The Murder of the Man Who Was "Shakespeare" set the record straight.
Bush himself took several weeks to set the record straight.
Would All About Eve have won more nominations than Titanic if there were a category for best makeup in 19507 We'll never know - but it does seem fair to attempt to set the record straight in some way.
Of all the musical institutions in European history, none have been more surrounded by myth and legend than the four ospedali grandi, and none have been more in need of a thorough documentary history, both because of their inherent importance to musical history and simply to set the record straight.
These letters moving portray black gallantry and determination to set the record straight.