Intellectual Product
medical record
med·i·cal rec·ord [ med-i-kuhl rek-erd ]
Definitions related to medical records:
  • A chronological written account of a patient's examination and treatment that includes the patient's medical history and complaints, the physician's physical findings, the results of diagnostic tests and procedures, and medications and therapeutic procedures.
    NCI
    U.S. National Cancer Institute, 2021
  • Recording of pertinent information concerning patient's illness or illnesses.
    CRISP Thesaurus
    National Institutes of Health, 2006
  • Represents the HL7 content "domain" that supports medical records - and is "supports clinical document management, and document querying."UsageNote:V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.
    NCI Health Level 7 Vocabulary
    U.S. National Cancer Institute, 2018
Try this search on: Farlex, Merriam-Webster, Oxford Dictionary, or Wordnik

This content should not be used in place of medically-reviewed decision support reference material or professional medical advice. Some terms may have alternate or updated definitions not reflected in this set. The definitions on this page should not be considered complete or up to date.