Guangzhou Zhongshan Ophthalmology Department: What information should be provided for the reexamination of medical records?
In order to better understand the condition and make correct diagnosis and treatment plan, the patient needs to provide the following types of data during the reexamination in Guangzhou Zhongshan Ophthalmology Department:
1、 Basic information
First, patients need to provide their own basic information, including name, gender, age, ID card number, contact number, etc. These data are necessary information for the hospital to establish patient files and ensure the smooth process of medical treatment.
Secondly, the patient also needs to provide relevant information such as the visit time, visit department and doctor. This information will help doctors better track the development of the disease and understand the treatment process, so as to provide more accurate medical services for patients.
In addition, patients also need to provide social security number, medical insurance card, diagnosis and treatment card and other relevant medical insurance information to ensure that medical expenses can be reimbursed and settled normally.
2、 Medical records
Medical record data is one of the most important bases for reexamination. Patients need to provide complete medical records, including initial medical records, examination reports, treatment plans, test sheets, surgical records, etc. These data can help doctors understand the patient's condition development, treatment effect and medication, so as to better judge whether the condition has improved, and timely adjust the treatment plan.
In addition, if the patient has relevant examinations that need to be revisited before reexamination, such as fundus examination, vision examination, etc., the examination results should also be brought to the day of reexamination for doctors' reference.
Note that patients should pay attention to maintaining the integrity and accuracy of the medical records after receiving them. In case of any loss or error, relevant medical personnel shall be contacted in time to supplement and modify.
3、 Medication records
Patients should also provide their own medication records when rechecking. It includes the drug name, dosage, frequency of use and other information. This is very important for doctors to understand the medication situation of patients and adjust the medication plan in time, and can timely find and solve problems that may occur in the medication process.
In addition, the patient should also inform the doctor of the history of allergies and adverse reactions so that the doctor can avoid using drugs that may cause allergies or adverse reactions when deciding on treatment plans.
4、 Other relevant information
In addition to the basic data, medical records and medication records mentioned above, patients should also provide other relevant information related to eye diseases during recheck.
For example, if the patient has received diagnosis and treatment from other hospitals or clinics before reexamination, relevant referral medical records and medical orders need to be provided so that doctors can understand the past treatment situation and effect.
In addition, if the patient has performed other relevant examinations before reexamination, such as blood routine examination, two-photon emission computed tomography (SPECT), etc., relevant examination reports should also be provided for doctors' reference.
Summary
The patient needs to provide basic data, medical records, medication records and other relevant information when rechecking in Guangzhou Zhongshan Ophthalmology Department. These data will help doctors fully understand the patient's condition, treatment history and medication, and provide more accurate medical services for patients. Before reexamination, patients need to ensure the integrity and accuracy of the data, follow the doctor's advice, and actively cooperate with medical work in order to obtain better treatment results.
