This documentation is placed in the patient’s chart and is available for the practitioner to review at the next visit. This provides for continuity of care in the event that another health professional in that office sees the patient as well as refreshes the same practitioner’s memory about the care he/she has provided for the patient.
Results from laboratory tests, X-rays, other diagnostic tests as well as a list of medications or treatments prescribed are also contained in the chart. In addition to this information, the chart will also contain any paperwork the patient completes, such as a family medical history, insurance information and consents for treatment, authorization to share information, and so on.
New Office New Chart
If the patient sees another health care provider, such as a specialist recommended by the primary care practitioner, a new chart is created and most often there is no integration of the information with the other physician's chart. If the patient is hospitalized, another chart is created. Each health professional creates a new chart or file for the patient and often has to reinvent the wheel to get a complete picture of the patient’s health history.
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