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Chapter Objectives
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After completing Chapter 9, you will be able to:

9.1 Explain the purpose of compiling patient medical records.

9.2 Describe the contents of patient record forms.

9.3 Describe how to create and maintain a patient record.

9.4 Identify and describe common approaches to documenting information in medical records.

9.5 Discuss the need for neatness, timeliness, accuracy, and professional tone in patient records.

9.6 Discuss tips for performing accurate transcription.

9.7 Explain how to correct a medical record.

9.8 Explain how to update a medical record.

9.9 Identify when and how a medical record may be released.







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