TY - CHAP M1 - Book, Section TI - Overview of the Health Record A1 - Smith, Jody A2 - Kettenbach, Ginge A2 - Schlomer, Sarah L. A2 - FitzGerald, Jill PY - 2016 T2 - Writing Patient/Client Notes AB - The health record, whether paper-based or in electronic format, should contain sufficient information to justify the patient's diagnosis, treatment, and services rendered. Documentation in the record should explain the patient's progress including the response to therapy, medication, or care rendered. Health records play the following roles in supporting the healthcare industry2: SN - PB - F. A. Davis Company CY - New York, NY Y2 - 2024/03/28 UR - fadavispt.mhmedical.com/content.aspx?aid=1180746720 ER -