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SAINT JOSEPHS HOSPITAL/MANSFIELD CLINIC COMBINED MEDICAL RECORD PREPRINTED PHYSICIANS ORDERS 00728PPO PRETERM PROM PROTOCOL ORDERS Nurse/ Title ALL ORDERS WILL BE IMPLEMENTED UNLESS CROSSED OFF ORDERS
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How to fill out a combined medical record:

01
Gather all relevant medical documents such as past medical history, lab reports, prescriptions, and any other pertinent information.
02
Begin by providing personal information such as your full name, date of birth, address, contact details, and insurance information.
03
Fill out the sections related to your medical history, including any previous illnesses, surgeries, allergies, medications taken, and ongoing conditions.
04
Record any specific symptoms or complaints you may be experiencing at the time of filling out the form.
05
Include details about any hospitalizations or emergency room visits you have had.
06
Fill in the section for family medical history, including any hereditary conditions or illnesses that run in your family.
07
Mention any current medications you are taking, along with dosage and frequency.
08
If applicable, include information about any healthcare providers you are seeing or have seen in the past, including their contact details.
09
Sign and date the combined medical record to validate the information provided.

Who needs a combined medical record:

01
Patients who want to have a comprehensive overview of their medical history in one place.
02
Individuals who see multiple healthcare providers and wish to streamline the exchange of medical information.
03
People with chronic conditions who require coordinated care among different specialists.
04
Aging adults who may have a complex medical history and benefit from a consolidated record.
05
Individuals who frequently travel or move between different healthcare systems and need easy access to their medical information.
06
Patients who want to actively participate in their healthcare and be well-informed about their own medical records.
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Combined medical record is a comprehensive document that includes all medical history, diagnoses, treatments, and medications of a patient from multiple sources.
Healthcare providers and facilities are required to file combined medical record for each patient they treat.
Combined medical record can be filled out by gathering information from medical charts, electronic health records, and inputting data into the designated form.
The purpose of combined medical record is to provide a complete and up-to-date medical history of the patient, ensuring seamless care and treatment.
Information such as patient demographics, medical history, current medications, allergies, procedures, and laboratory results must be reported on combined medical record.
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