3 Reasons Why You Need to Know What Doctors Add to Your Chart After Every Appointment

male doctor writing on medical chart

Your medical record is a vital document with details and personal information that is updated after every doctor’s appointment or contact with a medical professional.  While the mandatory use of Electronic Medical Records (EMRs) by medical professionals allows for quick access by doctors, and nurses to your medical history, including diagnoses, surgeries, and prescriptions, there is also a greater risk to you as a patient if the data included in your medical record is incomplete or incorrect.

You can access your electronic medical record after every doctor’s appointment to see the information that was added by your physician. Accessing your medical record and interpreting it can be challenging for a non-medical professional. So for this reason, consider enrolling in the course entitled, “How to Read Your Own Medical Record (Learn What is in Your Medical Files!)” to help you learn how to access and interpret your medical record for free.

There are three key reasons why reading and understanding your medical record is an important step in maintaining your health and maintaining the health of your loved ones. 

1. Accuracy

During or after your appointment, your physician or healthcare professional updates your medical record with notes, diagnoses, and procedures.  Your prescriptions will also be noted in your chart.  Checking your chart for accuracy and ensuring that there are no errors is critical to making sure you receive the correct care in the event that a healthcare emergency makes you unable to communicate with your healthcare team.

2. Employment Reasons

Many employers now ask for or require you to allow them to access parts of your medical record.  If your employer does require this, your job may be in jeopardy if your medical record is inaccurate or if confidential information is shared when it should not be.  You should check with your employer’s human resources department to find out if any or all your medical record is being accessed. You should also review your medical record on a regular basis.

3. Minor Children Under 18

As a parent or guardian, you have the right to access the healthcare records of your minor children under 18.  Not only should you check for errors or accuracy in these health records, but you should also read the diagnosis notes of the physicians to be sure that you have all of the information that you need to make important medical decisions about the health of your children.

Understanding your health care records is challenging but not impossible.  At Avidity Medical Design Academy, we offer a variety of healthcare courses designed to empower you as a healthcare consumer and future healthcare worker.

 Visit our website today to learn more about how to read and understand your medical record, so that you will know what is in your medical files and how to correct any information that is incorrect or inaccurate as soon as possible.

doctor updating medical records in computer

Do You Know How To Read Your Medical Records? 4 Ways To Learn How

Professional Dress in the Medical Office

Most of us understand the importance of good healthcare, but few people actually know what is in their medical records. Understanding what is in your medical records is important because some of your information may be inaccurate or incomplete. Reading and understanding your medical records is not only important in terms of your health, but it is a skill you also need to have if you are pursuing a career in healthcare.

If you want to be able to read and interpret your own medical records, here are some tips on how to do this:

1. Learn the Fundamentals of Medical Records

Know the key pieces of information in your medical records such as your medical history, treatment history, and medication history. You should also learn how the information is entered, and how the Health Insurance Portability and Accountability Act (HIPAA) pertains to your medical records.

2. Learn How to Access Your Medical Records

Under HIPAA law, you have the right to access your medical records. You should be able to access your medical records whether they are stored in electronic or paper form. Your records include your doctors’ notes and the results of laboratory tests, x-rays, physical examinations, and much more information pertaining to your health as well as your family’s health.

3. Learn How to Correct Any Errors That You Find

Determine exactly what the error is, and whether it needs to be corrected. Not all errors need to be corrected since they will have no effect on your care. For example, you may not need to correct some typos. Once you have determined that an inaccuracy or omission must be corrected, you must take the necessary steps to get the error corrected.

4. Take a Course on How to Read Your Medical Records

The course entitled How to Read Your Own Medical Records (Learn What is in YOUR Medical Files!) from Avidity Medical Design Academy, can help you learn how to read your medical records, and correct any errors that you find in your medical records. In addition to the course content, you also get free bonuses, including additional resources that allow you to continue learning after you finish the course. Click here to learn more about this course.

Remember that knowing how to read your medical records can help you understand your personal health and also help you succeed in your career, if you are thinking about becoming a healthcare professional.