Sairauskertomus

Sairauskertomus, often translated as medical record or patient record, is a systematic collection of information pertaining to an individual's health status, medical history, and healthcare received. It serves as a comprehensive document detailing a patient's journey through the healthcare system. Typically, a sairauskertomus includes demographic information, past illnesses and surgeries, current medical conditions, allergies, medications, and treatment plans. It also documents findings from examinations, diagnostic tests, and consultations with healthcare professionals.

The primary purpose of a sairauskertomus is to ensure continuity and quality of care. It allows different healthcare providers involved in a patient's treatment to access vital information, preventing duplicate tests, avoiding contraindications, and facilitating informed decision-making. It also plays a crucial role in medical research, public health surveillance, and legal or administrative purposes. Maintaining accurate and up-to-date sairauskertomukset is a fundamental responsibility of healthcare institutions and professionals. Privacy and confidentiality are paramount, with strict regulations governing access and disclosure of patient information. Electronic health records (EHRs) have become increasingly prevalent, digitizing these records and improving accessibility and interoperability.