A document or electronic file used to record a client's medical and social history, medical assessment, treatment, and results of therapy is a(n) ____.

Question

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A medical record is a comprehensive document or electronic file used to record all aspects of a client's medical and social history, medical assessment, treatment, and results of therapy. It serves as a permanent record of a client's health status and can be used by healthcare providers to monitor and evaluate their care. The other options, informal record, diagnosis, and nutrition care plan, are all components that may be included in a medical record but do not encompass the entirety of it.

A Document or Electronic File Used to Record a Client's