No?

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Note added at 3 mins (2005-06-01 19:51:59 GMT)
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oops
Clinical History
or
Medical Records

"Clinical" isn't necessary. Google: 211,000 hits.

"Clinical" isn't necessary. Google: 211,000 hits.

Hi Hazel
H.C. is indeed historia clínica, medical records, but the actual record, where patient's data is recorded is called a "chart".

The difference is clear in the following text:

THE BIRTH OF A MEDICAL RECORD
By Linda Waugh, CMT

In today’s technological environment many MTs never have the opportunity to work in a medical records (or health information management “HIM”) department. What happens to the documents that medical transcriptionists so diligently produce in their role as part of the allied health field?...
The chart begins upon admission of the patient to the hospital. A face sheet is created which contains all demographic information on the patient, i.e. name, address, date of birth, date of admission, insurance information, attending physician’s name, and any other information, which the hospital considers pertinent. This new chart with its new face sheet is then taken to the floor with the patient. Old chart/charts are retrieved from HIM and also sent to the floor to which the patient is admitted. ....
http://www.mtecinc.com/content.aspx?id=106

Maybe a native English speaker can confirm this?

HTH, best regards,

Patricia

:-)