How are sonography reports incorporated into medical records

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Case Study: The chief reason for keeping accurate, pertinent medical records is to provide data about the patient's progress and current status for other health team members. This prevents the need for repetitious diagnostic examinations by various professionals, and it encourages a systematic approach to therapeutic care. The images you obtain are legal documents. One of the SDMS standards states "any exceptions from the estanlished protocols and procedure" should be documented.

Question: How are sonography reports incorporated into medical records? What other aspects of medical records would be pertinent to a sonographer?

Reference no: EM133406224

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