The content of the health record is guided by various organizations, rules, and regulations.

The content of the health record is guided by various organizations, rules, and regulations. In this topic, discuss standards and guidelines pertaining to health records. A patient’s health record is a history of the story of their health status over a period. What is the goal of documentation standards? In the transition from paper to electronic, how have documentation standards changed?

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Health Record: – It is the means that healthcare providers use to collect and store the clinical documentation they create for individual patients. Standards related to health record content are statements of expected behavior or reference points aga...

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