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Clinical record

Legal public act that is open to the time of admission of a patient in an institution and is closed at the time of discharge. It fulfills the function of diary of the disease course and other relevant clinical events, coinciding, therefore, with the history of the patient within the hospital for each episode of hospitalization. From the legal point of view it is a public deed of administrative and sanitary nature, that is legally relevant and the correct compilation of which is an obligation and thus a responsibility for the doctor.

Related terms
Day hospital
Discharge (hospital)
Hospital Discharge Record

legal notice - privacy - dichiarazione di accessibilità

Istat - Istituto nazionale di statistica
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