Detailed explanation of medical record book
In the hospital, medical records are divided into large medical records and outpatient medical records, which are managed and kept by the medical record department of the hospital. Some hospitals directly give the original to the patient himself, while others are kept by the hospital outpatient department. The term of large-scale medical records is 30 years, and the term of outpatient medical records is 25 years. Except for some consent forms that need to be signed by the patient himself, all other aspects are written by doctors. Medical records include "home page, admission records, various inspection reports, various love letters, long-term doctor's orders, temporary doctor's orders, temperature sheets" and so on. As for what disease you said, I don't know what you mean. After leaving the hospital, you can go to the medical record department of the hospital if you want to handle insurance claims, go to court, submit various reimbursement or issue other certificates. The role of outpatient medical records is generally used to ask for leave and is also filled out by doctors. Outpatient medical records are some diseases that you just went to the hospital for outpatient service. The doctor decides whether you should be hospitalized or not according to the medical records. And now the hospital has personal files, which means that all the records of your first visit to the hospital are there. I do manual work in a hospital. Ask me if you don't understand.