diff --git a/erpnext/healthcare/doctype/patient_history_settings/patient_history_settings.py b/erpnext/healthcare/doctype/patient_history_settings/patient_history_settings.py
index 9f18c6b..9374870 100644
--- a/erpnext/healthcare/doctype/patient_history_settings/patient_history_settings.py
+++ b/erpnext/healthcare/doctype/patient_history_settings/patient_history_settings.py
@@ -156,8 +156,8 @@
 
 
 def validate_medical_record_required(doc):
-	if frappe.flags.in_patch or frappe.flags.in_install or frappe.flags.in_setup_wizard or \
-		frappe.db.get_value('Doctype', doc.doctype, 'module') != 'Healthcare':
+	if frappe.flags.in_patch or frappe.flags.in_install or frappe.flags.in_setup_wizard \
+		or doc.meta.module != 'Healthcare':
 		return False
 
 	if doc.doctype not in get_patient_history_doctypes():
diff --git a/erpnext/healthcare/doctype/patient_medical_record/test_patient_medical_record.py b/erpnext/healthcare/doctype/patient_medical_record/test_patient_medical_record.py
index 419d956..c1d9872 100644
--- a/erpnext/healthcare/doctype/patient_medical_record/test_patient_medical_record.py
+++ b/erpnext/healthcare/doctype/patient_medical_record/test_patient_medical_record.py
@@ -18,6 +18,7 @@
 		patient, medical_department, practitioner = create_healthcare_docs()
 		appointment = create_appointment(patient, practitioner, nowdate(), invoice=1)
 		encounter = create_encounter(appointment)
+
 		# check for encounter
 		medical_rec = frappe.db.exists('Patient Medical Record', {'status': 'Open', 'reference_name': encounter.name})
 		self.assertTrue(medical_rec)
diff --git a/erpnext/healthcare/page/patient_history/patient_history.js b/erpnext/healthcare/page/patient_history/patient_history.js
index 9c44d63..05c5190 100644
--- a/erpnext/healthcare/page/patient_history/patient_history.js
+++ b/erpnext/healthcare/page/patient_history/patient_history.js
@@ -19,7 +19,7 @@
 			fieldname: 'patient',
 			placeholder: __('Select Patient'),
 			only_select: true,
-			change: function(){
+			change: function() {
 				let patient_id = patient.get_value();
 				if (pid != patient_id && patient_id) {
 					me.start = 0;
diff --git a/erpnext/hooks.py b/erpnext/hooks.py
index 9a0e06d..57b0b07 100644
--- a/erpnext/hooks.py
+++ b/erpnext/hooks.py
@@ -223,7 +223,7 @@
 doc_events = {
 	"*": {
 		"on_submit": "erpnext.healthcare.doctype.patient_history_settings.patient_history_settings.create_medical_record",
-		"on_update": "erpnext.healthcare.doctype.patient_history_settings.patient_history_settings.update_medical_record",
+		"on_update_after_submit": "erpnext.healthcare.doctype.patient_history_settings.patient_history_settings.update_medical_record",
 		"on_cancel": "erpnext.healthcare.doctype.patient_history_settings.patient_history_settings.delete_medical_record"
 	},
 	"Stock Entry": {