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Showing posts from September, 2025

How To Write a Medical Report.

  How to Write a Medical Report A medical report is a structured document that communicates patient-related clinical information, such as history, examination, investigations, diagnosis, treatment, and recommendations. These reports are essential for continuity of care, medico-legal purposes, insurance claims, research publications, and communication between healthcare professionals. Writing a medical report requires clarity, accuracy, and professionalism. This guide provides step-by-step instructions on how to prepare a medical report, including structure, style, and best practices. 1. Types and Purposes of Medical Reports Different types of medical reports serve different purposes. Clinical Progress Notes / Chart Notes: Ensure continuity of care within medical records. Admission and Discharge Summaries: Summarize inpatient stays for other healthcare providers. Case Reports (for publication): Present unusual or educational cases for medical literature. Medico-Legal Reports: Provid...