Psychology

Introduction (This will discuss what a medical record is, what is the purpose of medical record Various purposes will be discussed. The necessity of a record will also be discussed, it will also give a brief over view of the contents of medical record i.e. what constitutes a medical record)

Creating and maintaining records
Basics of record keeping (SOAP stands for Subjective, Objective, Assessment, Plan.. It is a useful way of record keeping, therefore the paper will discuss how to keep record in an accurate and consistent manner. However these are just the basics)

Computerized records

Record retention

Confidentiality of medical records

Access to the medical records

General principles of writing a record (This section will discuss what to avoid when writing a record, such as it should be written clearly and should be legible. Moreover, a few pitfalls which might make a record invalid are also discussed in this section)

Conclusion (this section concludes the entire paper giving a brief summary of the above)