PubMed · 4461821
Improved record keeping in general practice.
Abstract
This paper describes a system of record keeping emphasising:(1) The collection of basic data on each patient recorded on a summary card,(2) The recording of chronic or continuing illnesses on the summary card,(3) The typing of medical records, at least the typing of referral letters with the retention of a copy in the record folder,(4) The use of a problem orientated record and a problem sheet either separately or as part of the summary card,(5) The use of a drug card,(6) The use of other specialised cards for special interests or clinics i.e. paediatric and geriatric cards.
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J O Woods. 1974. Improved record keeping in general practice.. https://pubmed.ncbi.nlm.nih.gov/4461821/
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