For generations, writing up a summary of a patient exam was a vital step for physicians trying to make an accurate diagnosis.

What does your doctor really think about your condition and health concerns? For more than a year now, patients have been able to access and read the observations doctors write down about them during ...

More U.S. patients will soon have free, electronic access to the notes their doctors write about them under a new federal requirement for transparency. Many health systems are opening up records ...

(AP) -- Don't be offended if your doctor writes that you're SOB, or that an exam detected BS. The aim is to help, not insult: A project is beginning to test if patients fare better when given fast ...

In the health care industry, there is a common adage: If you didn’t document it, it didn’t happen. For a combination of legal, medical and billing reasons, doctors spend hours every day in front of ...