MEDICATIONS Integral Part Of Health Records

Health Records

Various types of medical health records get generated during the treatment of a patient.

They are:

Office Notes

Hospital Reports

Prescriptions

Nurse’s Orders

Flow Charts

Assessment Sheets

Treatment Records

Medications-Part Of Health Records

Medications are mentioned in almost all the records.

They could be the part of history section or part of treatment section or part of allergies as

well.

Medications are mentioned with their dosage, frequency and route of administration.

There can be a brand namementioned or generic name for the medicine.

Placing medicine related information in the right place and right format is a crucial aspect

of the medicine data capturing

Medications-Part Of Health Records

Medication History: The medications taken in the past with dosage and frequency are

captured under medication history section.

Current medication: Patient’s day-to-day medications are mentioned under current

medication section.

Allergies: Type of adverse reaction to any medication is captured under allergies, which is a

vital information for treatment planning.

Prescriptions: Treatment medications given to the patient with detailed information about

dosage, frequency and route of administration are captured under treatment or prescription.

Accurate Medicine Data Capture

One needs to understand the medication data and place it in the right section.

Capturing history medication in the prescription part or medicinal allergy to the current

medication can lead to serious consequences.

Mentioning the accurate brand names or generic names in the correct style with

accurate dosage and other information is also crucial.

Pattern of medication administration should be accurately captured in the flow chart

with timings of administration, route and changes in the vital signs should be captured

accurately.

ITCube Helps You To Capture It Accurately

ITCube understands the importance of accurately captured medicinal data and help to

document medications under correct section with accurate information in medical

record summarization.

Systematically and careful summarization of the medicinal data in any document

promotes easy analysis or claim processing.

Web- www.itcubebpo.com Email- info@itcubebpo.com Phone- +1 (614) 434-2376

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