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Hospital Chart Organization

  1. Hospital / insurance papers; Admission papers
  2. Consents
  3. Emergency Room
  4. History & Physical; Discharge Summary
  5. Consults
  6. Doctors' Orders
  7. Doctor's Progress Notes
  8. Nurses' Notes
  9. Operative notes
  10. Lab / pathology reports
  11. X-ray
  12. EKG
  13. Autopsy
  14. Medication record
  15. Physical therapy; Occupational therapy
  16. Respiratory Therapy
  17. Computerized records
  18. Miscellaneous

 

Clinic Chart Organization

  1. Clinic visit notes
  2. Test results
  3. Outside records
  4. Miscellaneous