patient charts

What Information is Included in Patient Charts?

A patient chart typically includes:
1. Personal Information: Name, age, address, and contact details.
2. Medical History: Past illnesses, surgeries, allergies, and family medical history.
3. Medications: Current and past medications, including dosages and schedules.
4. Vital Signs: Regular recordings of blood pressure, temperature, pulse, and respiratory rate.
5. Treatment Plans: Detailed plans for ongoing treatments and interventions.
6. Progress Notes: Daily or periodic notes by nurses and doctors documenting the patient's status and care provided.
7. Lab Results: Results from blood tests, imaging studies, and other diagnostic tests.

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