Northwest Career College

MARCH 28, 2025

What is an Electronic Medical Record? Electronic medical records are, for the most part, an electronic version of the patient chart. They contain a core set of information, including: Medical histories. Results of the diagnostic tests. Medications; treatment plans: The records of the Doctor and the nurse.

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Medical Administrative Assistant Medication Medical Terminology HIPAA 40

Prism Career Institute

JULY 8, 2025

RNs usually require four years of schooling with a degree and have broader responsibilities, such as creating care plans, administering medications, and performing diagnostic tests. VNs are very similar to PNs regarding duties and education, but the terminology of VN is typically utilized in California and Texas.

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Prism Career Institute

JULY 1, 2025

Corrections: Patients maintain the right to correct inaccuracies in their medical records, such as medications or medical histories. Every healthcare setting, such as provider offices, urgent care centers, and testing centers, has its own specific guidelines regarding patient privacy policies.

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Medical Assistant HIPAA Medication Vital Signs 52

The HIPAA Journal

MARCH 20, 2025

Lake Washington Vascular was unable to determine exactly what information was viewed or extracted from its systems and said the information likely compromised included names, dates of birth, addresses, diagnostic test results, medical histories, diagnosis and treatment information, payer identification numbers, and government-issued identifiers.

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Prism Career Institute

MAY 6, 2025

Obtaining background information: Before a patient sees a physician, an assistant typically discusses their medical history and makes sure the facility has an accurate record on file. Taking vitals: Medical assistants also measure a patient’s blood pressure, pulse, or temperature.

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Arkenea

JUNE 9, 2025

Electronic Health Records, or EHR, are digital libraries that house invaluable patient medical history data. From clinical observations to diagnoses, medications, and immunization schedules, it’s all there, at a healthcare provider’s fingertips. That’s where EHR interoperability comes in.

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ACI Medical & Dental School

JANUARY 9, 2025

The day-to-day responsibilities of a Pediatric Medical Assistant can vary depending on the specific medical office or clinic, but typically include: Clinical Tasks: These involve taking vital signs, administering medications and vaccines, assisting with medical examinations, and performing simple laboratory tests.

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Medical Assistant Medication Vital Signs Certification 52

The Healthcare Blog

JUNE 11, 2025

Patient Engagement Tools : The new EHR includes a reimagined patient portal focused on empowering patients to access and control their medical history, facilitating communication with providers, and enabling self-service capabilities for patients to manage appointments, pay bills, and access health information.

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Billing Hospital Documentation Medication 67

Arkenea

JUNE 8, 2025

It consists of information that is listed on a patients’ medical sheet. EHR includes vital signs, medical history, medications, diagnosis, progress reports, allergies, immunizations, imaging reports, and laboratory data. Certified EHR are those that meet the standards defined by the certification and testing body.

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Mobius MD

NOVEMBER 18, 2024

AI-driven clinical decision support (CDS) tools draw on vast datasets–including a patient’s medical history, current health data, and recent medical research–to provide treatment suggestions tailored to each patient.

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ACI Medical & Dental School

JANUARY 14, 2025

Document medical histories and reason for the visit. Administrative Duties: Greet patients as they arrive, check them in, and update their medical records. Perform basic lab tests and prepare samples for external labs. Patient Communication: Provide patients with information about medications and special diets.

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Sensible Medicine

JANUARY 31, 2025

Third, race seemed to be often used as a lazy and imprecise stand in for the social history, a stand in that was as likely to be wrong as it was to invite stereotyping. In the years that followed, I learned of efforts to remove racial identifiers from medical textbooks and test questions. We do this with BRCA testing.

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The HIPAA Journal

JUNE 12, 2025

The patient had a medical history that included dementia with behavioral disturbances, major depression, and manic episodes. She reported 10/10 pain, left lower quadrant pain, extreme cramping, and bleeding, and had a positive pregnancy test with her OB/GYN earlier that day.

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Transfers Discharges Medical History Hospital 51

Northwest Career College

MAY 11, 2025

Below are a few reasons why maintaining EMRs as accurately as possible is imperative: Preventing Medication Errors A leading cause of errors in healthcare is medication errors. If a person’s medication history is inaccurate or outdated, they may be put on something with an adverse reaction to what they are currently taking.

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Medical Administrative Assistant Patient Care Medication Patient Safety 40

Sensible Medicine

JULY 11, 2025

Her medical history was only notable for a mastectomy for a rare type of breast cancer, cystosarcoma phyllodes. The neurology consultant recommended a lumbar infusion test to help make the diagnosis and to assess whether the patient would benefit from a ventricular shunt.

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Sensible Medicine

SEPTEMBER 27, 2024

Old-fashioned doctors spend whatever time it takes to obtain a good medical history and physical examination. The history and physical exam is not something to be fetishized but something to be recognized as a time saver. Old-fashioned doctors order tests to substantiate, not generate, their clinical impressions.

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Sensible Medicine

AUGUST 11, 2023

.” Most everyone learns at some point the factoid that 80% of diagnoses come from the medical history. However, contrary to a standardized test on which the medical history is presented in a paragraph of clean prose, it requires skill to obtain a medical history.

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Medical History Physical Exams Huddles/Rounds Medication 245

Sensible Medicine

SEPTEMBER 13, 2024

2 Common puzzles test diagnostic reasoning. Uncommon puzzles test knowledge of differential diagnoses. Take your time collecting the medical history, doing the physical exam, and reviewing the reams of outside records that are sure to accompany the patient. My habit is not to order tests at the first visit.

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Diagnostics Physical Exams Tests Medical History 194

Scrubs

FEBRUARY 5, 2023

They will also ask the patient about symptoms and medical history. However, they will likely perform tests to confirm the diagnosis. They may take blood or urine tests to look for toxins, proteins, or infections. A qualified neurologist may understand the patient’s diagnosis from the above exam alone.

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Tests Medical History Medication 130

Valant

JULY 24, 2024

The information recorded may include symptoms, medical history, test results, diagnoses, treatment plans, prescription medications, and progress made at appointments. Mental health progress notes, also known as clinical notes or treatment notes, are a key part of every behavioral health practice.

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The HIPAA Journal

JULY 8, 2024

For certain users, limited demographic information may also have been disclosed and, potentially, lab test names or lab test resources viewed on the website but no lab test results.

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Medication HIPAA Medical History Tests 128

Valant

AUGUST 2, 2024

Customizable Note Templates The ability to create and customize templates for intake, medical history, therapy notes , and progress notes helps save time and energy. Medication Management Tools E-Prescribing is one of the most important features for psychiatry. Each gain in efficiency means more time spent with patients.

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Health Populi

AUGUST 5, 2021

health citizens are with respect to their medical information. Eight in ten health consumers would access their physician and clinical notes (an area addressed in the past several years by the ground-breaking OpenNotes project ), insurance billing and claims, allergies, advance directives, and family medical history.

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Medical History Vital Signs Collaboration Insurance 118

Northwest Suburban College

JULY 19, 2024

Our day typically starts with preparing patients for medical exams. We also record their medical history and listen to any concerns they may have. These tasks require precision and a thorough understanding of medical protocols, which we learn during our training.

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Valant

JULY 16, 2024

This covers information such as diagnosis, symptoms, medical history, test results, treatment plan, progress at appointments, prescription medications, etc. Progress notes, on the other hand, record information relevant to the patient’s treatment and response to treatment.

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Appointments Documentation HIPAA Follow-Up 98

We Care Online

MAY 28, 2024

Hormone tests, ultrasound and a range of other tests are also carried out. Genetic testing is conducted to screen for inheritable diseases. A thorough family medical history is also reviewed to identify any potential genetic issues. A detailed medical history of the donor and their immediate family is examined.

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WSMDA

APRIL 28, 2023

General Medical Assistant Overview Medical assistants are responsible for a wide range of tasks that vary depending on the healthcare facility where they work. They also assist physicians during medical procedures and may provide patient education and support. They also provide patient education and support for new mothers.

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Arkenea

OCTOBER 15, 2024

The electronic health record (EHR) lies at the heart of this transformation, providing a comprehensive, real-time digital view of a patient’s medical history. Leave No Stone Unturned in Testing Providing end-users with a reliable and bug-free experience is non-negotiable.

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Medical History Tests HIPAA Patient Records 52

Northwest Suburban College

DECEMBER 6, 2024

Administrative Duties in Medical Offices Medical assistants handle many administrative tasks that keep a medical office running smoothly. This involves updating medical histories, recording vital signs, and noting any changes in patients’ conditions. This can include urinalysis or blood glucose tests.

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ACI Medical & Dental School

JANUARY 7, 2024

An Electronic Health Record , or EHR, is an electronic version of a patient’s medical history that is maintained by a healthcare provider. It includes a broader range of patient data, including medical history, diagnoses, medications, allergies, immunization records, lab results, radiology reports, and more.

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Medical History Vital Signs Patient Records Long Term Care 52

The HIPAA Journal

JULY 10, 2025

Protected health information in the accounts included dates of treatment/service, health insurance information, medical history, patient number, medical record number, billing information, and treatment information.

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Medical History Insurance Follow-Up HIPAA 51

Prism Career Institute

FEBRUARY 4, 2025

When a doctor comes in and evaluates the patient, they may decide a test or treatment is necessary. Medical assistants will be asked to help prep the patient and the required tools and equipment for these procedures. They may even be asked to perform diagnostic testing themselves.

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Mobius MD

SEPTEMBER 16, 2024

A well-designed and optimized portal can free up staff time by allowing patients to review educational materials, schedule non-urgent appointments, and update their medical history online. Implement pre-visit lab testing Pre-visit lab testing involves ordering patient lab tests for completion before their upcoming appointment.

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NHA Now

MAY 13, 2020

Medication history technician Hospital pharmacy technicians may serve the role of a medication history technician. Coordination and conduction of environmental testing and air sampling for pharmacy areas in accordance with regulatory standards. Train new technicians and research pharmacy staff.

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Hospital Sterilization Medical History Certification 52

Northwest Suburban College

OCTOBER 4, 2024

They also collect medical histories to help the doctor understand the patient’s health better. Medical assistants also assist with different medical procedures. They might help the doctor during exams or even perform basic lab tests. But their job doesn’t stop at medical tasks.

Medical Assistant 52

Medical Assistant Medication Vital Signs Follow-Up 52

Northwest Suburban College

NOVEMBER 28, 2024

Let’s explore the new innovations in clinical assisting techniques for medical assistants. Advanced Phlebotomy Techniques in Medical Assisting Phlebotomy is a core skill for medical assistants. It involves drawing blood from patients for various tests and procedures.

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Clinical Assistant Medical Assistant Medication Medical History 52

Southern Careers Institute

MAY 13, 2024

Specifically, the duties of a medical assistant can include the following: Patient preparation: You may need to help prepare the patient for any procedures or treatments, such as removing bandages or cleaning specific body areas.

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