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This study evaluated the quality of data registration in medical records (HC) of new outpatient pediatric patients attending consultation at a general hospital in Lima, Peru. The researchers analyzed 384 medical records and assessed dimensions such as patient data, medical history, physical examination, diagnosis, treatment plan, and physician identification. They found that while reasons for consultation, weight, and height were always included, other important data like biological functions and vital sign

Author

jhonron

Language

EN