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Those elements of the policy that are mandatory will be explicitly indicated through the use of terms such as “must”, “required”, or “expected”, whereas recommendations and advice will be indicated through terms such as “should”, “recommended”, or “advised”.
Policy Number:#4-12 Policy Category: Administrative Under Review: No Approved by Council: November 2000 Reviewed and Updated: September 2005, November 2006, May 2012 College Contact: Physician Advisory Service Downloadable Version(s): Medical Records The medical record is a powerful tool that allows the treating physician to track the patient’s medical history and identify problems or patterns that may help determine the course of health care.
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The primary purpose of the medical record is to enable physicians to provide quality health care to their patients.