Name/Title
Original Medical RecordEntry/Object ID
2014.2.3307aScope and Content
A single page document containing the procedures for the "Filing Order For Original Medical Record". The information is presented in two columns and the bottom right corner shows MCM/5-14-65.Context
Progress Notes (stapled together In Event of Death
loose in chart while active
and on leave)
Progress Notes are filed beneath top
1 Face Sheet Face Sheet, last note on top
2 Staff Notes Type on Progress Sheet:
3 Doctor's Summary . . . . Date of death
4 Commitment . . . Mental . . .
5 Resources . . Causes . .
6 History . . . Total Time . . .
7 Medical . . . Age
8 Social . . . Medical . . .
9 Psychological . . . Include behind progress sheet:
10 Neurological . . . Mortuary . . .
etc. Switchboard . . .
11 Consultation . . . Telegrams . . .
12 Six Months Note Authorization . . .
13 Physical . . . Autopsy Report
14 Laboratory . . . Letters . . .
15 Electrocardiogram filed in back of chart
16 Radiographic . . .
17 E.E.G. Report
18 Dental . . . In Event of Discharge
19 Ward Report . . .
20 Charge . . . Progress Notes are filed beneath top
21 Permit . . . Face Sheet, last note on top
22 Special Therapy . . . Type on Progress Sheet:
I. T. , M T. Date . . .
23 Convulsive . . . Name of . . .
24 Chaplain's . . . Age
25 Special . . . Time in Hospital . . .
26 Restraint . . . Medical Superintendent . . .
27 Whom to Notify . . . Discharge Summary . . .
28 Correspondence Absence . . .
Include . . . . (if required)
with letters: Letters to Court . . .
Leave & Absence . . . and Letter to family . . .
Escape Sheets filed in back of chart
Change . . .
Report . . .
Notice . . .
Letters to . . . .
Leave, Extensions. etc.
NOTE: No rigid rule for chart order . . . . . . . . . . . . . . MCM/5-14-65Lexicon
Nomenclature 4.0
Nomenclature Sub-Class
Other DocumentsNomenclature Class
Documentary ObjectsNomenclature Category
Category 08: Communication Objects