====== Medical report ====== A **medical [[report]]** is an official [[document]] that provides detailed information about a patient's [[health status]], [[medical history]], [[diagnosis]], [[treatment]], and [[prognosis]]. It is typically written by a healthcare [[professional]], such as a doctor or specialist, and serves various purposes, including: 1. **[[Clinical Documentation]]** – Recording patient progress, diagnoses, and treatments. 2. **Legal Evidence** – Serving as a [[legal]] record in cases of medical disputes or insurance claims. 3. **[[Communication]]** – Facilitating information exchange among healthcare providers for coordinated care. 4. **Research & Education** – Contributing to medical studies and training. A medical report may include: - Patient’s details (name, age, gender, etc.) - [[Medical history]] (previous conditions, allergies, medications) - [[Examination]] findings (physical, neurological, or laboratory results) - [[Diagnosis]] (including differential diagnoses) - [[Treatment]] plan (medications, surgery, therapy) - Follow-up recommendations