N. R. COLLEDGE
The purpose of the case record 294 The patient's right of access 294
The system 294
The history 295 The examination 298 Clinical diagnosis or impression 299 Plan 300
Information given 300 Progress notes 300
Previous chapters have illustrated the wealth of information that can be obtained front the history and physical examination. This information plays a key part in a patient's care so it is vital that it is recorded in a way that is concise and clear.
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