Professional Documents
Culture Documents
BY SATENDRA KUMAR
CHIEF MEDICAL RECORD OFFICER
HINDU RAO HOSPITAL
DELHI
INTRODUCTION
• Hindu Rao Hospital 980 beded general Hospital.
• Under Municipal Corporation of Delhi.
• For the management and systematic maintenance
of Medical Records in the Hospital a Medical
Record Department was established in the year,
1970
• To begin with MRS was started with one Medical
Record Keeper and 3 class IV employees.
• At present the Medical Record Deptt. has
Medical Record Officer
Medical Record Technicians
Medical Record Clerks
Medical Record Attendants.
• The Reception, Enquiry and Admission office functions
round the clock under the charge of Medical Record Officer.
• Presently only inpatients records are maintained in the
Medical Record Department.
• Registration work of OPDs are also managed by the
Medical Record Officer.
• Statistical information about the functioning of OPDs is
regularly submitted by the Medical Record Officials in the
Medical Record Deptt.
SYSTEM OF MEDICAL RECORD
• DEFINITION
Medical Record of the patient stores the
knowledge concerning the patient and his care. It
contains sufficient data written in sequence of
occurrence of events to justify the diagnosis,
treatment and outcome.
In the modern age, Medical Record has its utility
and usefulness and is a very broad based indicator
of patients care.
It has various uses to
Patients
Doctors
Hospital
Teachers
Students
For research work
National & International agencies
ORIGIN :-
The inpatient Medical Record in originated at the
admission office based on the admission order
made by the clinician or at Casualty Deptt. and
various OPDs of the Hospital.
Flow of Medical Record :-
The flow chart of inpatient Medical Record is as under :-
Wards
Central Admission Office
2. ADMN. &
Hospital statistics prepared
Discharge analysis Monthly/Yearly