Guest guest Posted October 23, 2001 Report Share Posted October 23, 2001 Dear Rhonda and all, IT is great that more or you are putting together your own MR. (medical record). We spent time talking about this at the symposium. When it comes to records re: x-rays, films, CT scans, MRI, ERCP, etc., it is important to have the radiologist's official report. I suggest making a cover summary page listing: 1. test 2. date ordered 3. purpose 4. place exam done 5. address and phone where exam done 6. name of ordering physician 7. contact information for physician 8. results of test A sample of a complete medical record that every patient should keep for themselves will soon be available on the home site. Briefly, regarding medications, the PAI consulting physician stated that the list of current as well as recently discharged medications should include everything found on the label: 1. Date ordered 2. name 3. strength 4. amount 5. frequency 6. route 7. duration (if applicable) 8. purpose And ordering physician's information, i.e.; 9. name 10. title 11.office number. Karyn E. <A HREF= " KarynWms@... " >Karyn , RN/Founder/President</A> <A HREF= " http://www.pancassociation.org " >Pancreatitis Association, International </A> Phone 1- / Quote Link to comment Share on other sites More sharing options...
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