Chapter 3 – Medical Record | History of Present Illness | Patient is a 35 year old male complaining of nausea‚ pyrosis‚ indigestion‚ and melena stool. Patient stated that he has been experiencing abdominal pain that wakes him in the middle of night for over a month. He stated that he normally can drink a glass of milk or baking soda water to relive the pain‚ but this has no longer been effective. | Past Medical History | Patient is a smoker who drinks daily and suffering from obesity.
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procedure‚ data gathering methods and Statistical Treatment. Research Design Applied research design was used in the study Electronic Record System in the College of Technical Studies. The descriptive method was employed in the study because the researchers had described that it was the most appropriate method to be used in order to identify what record system could be carried out for the College of Technical Studies. Descriptive research was a type of research that was mainly concerned with
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Record Controls Valerie Chacon Axia College November 21st‚ 2010 HCR 210 Lisa Israel Today‚ there are many security measures within small‚ medium and large facilities. There are secure rooms‚ passwords‚ access codes and other things to keep records safe. If these security measures are not in place‚ then the medical facility could be at risk for letting confidential information get to the wrong people. There are differences and similarities in ways each medical facility handles their medical
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collections however offers opportunities as well as challenges. This paper aims at examining the challenges of managing archives in digital formats with a view to recommending the way forward. According to IRMT (2009)‚ archives are records‚ usually but not necessarily non-current records‚ of enduring value selected for permanent preservation. Archives will normally be preserved in an archival repository‚ which is managed by an archival institution. An archival institution on the other hand is the agency responsible
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RECORD OF OPERATION PATIENT: Ann Zantza PHYSICIAN: Dennis Munoz‚ MD PREOPERATIVE DIAGNOSIS: Cancer of right breast. POSTOPERATIVE DIAGNOSIS: Cancer of right breast. PROCEDURE: Right total mastectomy with axillary dissection. SURGEON: Morton Holden‚ MD HISTORY: This patient has cancer of the right breast. It was elected to do a right total mastectomy with an axillary dissection. PROCEDURE: The patient was given a general anesthetic. The right arm was free draped‚ and she was prepped and draped in
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###What are Genealogy Records? Genealogy records are official records of personal circumstances related to a person’s family history. Genealogy records are also known as historical records‚ family history‚ ancestry history‚ lineage‚ family line‚ bloodline or line of descent. Tracing a family line back in history can be an onerous task as it includes considering not only official vital records registries‚ but also genetical research‚ and going through data available in tax reports‚ newspaper archives
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Why Do You Need Records Management Training? Proper records management is more important than ever‚ not only because it promotes organizational efficiency‚ but because it is required by law! When records are not properly maintained‚ the institution is at risk of legal and financial penalties. It is essential that those who are responsible for virtually any type of information become familiar with the requirements and process of records management. Every employee must know why records management matters
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used in a number of areas. UML is a very important part of developing object oriented software and the software development process. UML uses mostly graphical notations to express the design of software projects. Using UML helps project teams communicate‚ explore potential designs‚ and validate the architectural design of the software. How UML Started? UML came about when James Rumbaugh joined Grady Booch at Rational Software. They both had object oriented syntaxes and needed to combine
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Backgrounds Alison Brown and her husband Gary West‚ who were both musicians‚ founded compass Records in 1995. Compass Records is a small independent recording company that centered on folk and roots music. Compass Records occupies only a tiny part of the 32-billion dollar music recording industry‚ competing with some multi-national corporations dominating 86% of the business‚ such as Sony/BMG‚ Universal Music Group‚ Warner Music Group‚ and EMI. However‚ the industry has witnessed a stagnant growth
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Chapter 3 – Medical Record History of Present Illness The patient is a 61 year old female. The patient is complaining that they feel weak‚ their urine is dark‚ nausea‚ pain in the abdomen. Past Medical History Mrs. Carter has suffered from seizures since she was 14 years old. She has been taking Dilantin to help keep her seizures under control and to a minimum. Clear history otherwise. Physical Examination Temperature was 99.8 Pulse was 83 Blood Pressure was 120/84 Abdomen area was swollen
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