A paper or electronic record created in the health care system which contains medical and health-related information about an individual and is used to record and support health care for that individual.

Reference: GALexicon_List of terms with available definitions _10 Mar 2016-v24(final) 
Source: NFU - D4LS versie 0.8 van 18-10-2016 
0.1 5/23/17​

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