.Q. Write purpose, principles and contents of medical record.
Ans- 1) Purpose-
 To serve as a basis for planning & for continuity of patients care.
 It assists in protecting legal interest of the patient hospital & physician.
 It helps for communication among the physician & any professional contributing to the
patients care.
 It acts as a evidence for the patients illness & treatment during each hospital stay.
 It provides data for use in research and education.
 It serves as a basis for review study of the patient & evaluation of health care given to the
patient.
2) Principle-
 It must be accurately prepared.
 It must be properly stored & readily available.
 It must be easily accessible.
3) Contents- It must contain all important clinical information which should give immediate
knowledge to another physician who takes care of patient at any time in emergency complete
medical record is one which contain personal family history,history of patients present illness
The physical examination,clinical laboratory data,X-ray and other examinations,medical and
surgical treatment,pathological findings of patient progress notes,final diagnosis,condition on
discharge,regular follow up of the patient.If the death of patient has occur the medical record
also contains autopsy findings.