This Course in Documentation in Healthcare Facilities offers a specialist training in this subject.
The health records is the information generated as a result of the care received in primary care, specialist care or other levels of care, consisting of a combination of a documentary evidence and the information it contains.
At present, the health information and documentation has acquired a great significance and importance in the field of healthcare.
The medical history is the collection of documents relating to the care pathway and the patient’s state of health, drawn up by a healthcare professional. It must include medical history, progression of the condition and diagnostic tests carried out.