Medical Record Addendum
Patient Name: Emmy Green
Medical Record Number: 987654321
Age: 50
Addendum Details
Date of Addendum: 07/20/2075
Time of Addendum: 10:45 AM
Addendum Created By: [YOUR NAME], Medical Records Officer, [YOUR COMPANY NAME]
Reason for Addendum
The addendum is created to correct a previously recorded diagnosis and update the treatment plan based on subsequent findings from laboratory results received on 07/18/2075.
Original Record Reference
Corrected or Additional Information
Field | Original Entry | Corrected/Additional Information |
|---|
Diagnosis | Mild upper respiratory infection | Community-acquired pneumonia, confirmed by X-ray and lab results. |
Treatment Plan | Symptomatic treatment with OTC medications. | Antibiotics prescribed: Azithromycin 500 mg, once daily for 5 days. Follow-up scheduled for 07/25/2075. |
Confirmation
The above addendum is provided to ensure accurate documentation and continuity of care. It has been reviewed for accuracy and approved as part of the patient's medical record.
Signature: _____________________
Name and Title: [YOUR NAME], Medical Records Officer, [YOUR COMPANY NAME]
Date Signed: 07/20/2075
Time Signed: 10:45 AM
Note: This addendum is a legal part of the patient's medical record and is subject to standard confidentiality and disclosure laws.
Medical Record Templates @ Template.net
