Medical Record

In 2009, Congress authorized and funded legislation known as the Health Information Technology for Economic and Clinical Health Act to stimulate the conversion of paper medical records into electronic charts. While many hospitals and doctor’s offices have since done this successfully, electronic health vendors' …See more on en.wikipedia.org · Text under CCBYSA licenseSince the creation of the Hippocratic oath about 400 B.C., protecting the privacy of patients has been an important part of physicians' code of conduct. Over time, health information has come into use by many organizations and individuals who are not subject to medical ethics codes, including employers, insurers, government program administrators, attorneys and others. As us…See more on epic.orgOnly you or your personal representative has the right to access your records.A health care provider or health plan may send copies of your records to another provider or health plan only as needed for treatment or payment or with your permission. The Privacy Rule does not require the health care provider or health …See more on hhs.govSome advocacy groups recommend that a medical records request be made in writing so you and the health care provider have a record of the transaction. The Privacy Rights Clearinghouse, a proprivacy group, has put together a sample request for medical records form letter to help you obtain your personal health record.See more on medicalrecords.comBesides information about physical health, these records may include infomation about family relationships, sexual behavior, substance abuse, and even the private thoughts and feelings that come with psychotheraphy. This information is often keyed to a social security number. Because of a lack of consistent privacy protection in the use of Social Security Numbers, the information …See more on epic.orgThe federal Health Insurance Portability and Accessibility Act addresses the issue of privacy by providing medical information handling guidelines. Not only is it bound by the Code of Ethics of its profession, but also by the legislation on data protection and criminal law. Professional secrecy applies to practitioners, psychologists, nursing, physiotherapists, occupational therapists, nursin…See more on en.wikipedia.org · Text under CCBYSA licenseThe information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care. An increasing purpose of the …See more on en.wikipedia.org · Text under CCBYSA licenseA patient's individual medical record identifies the patient and contains information regarding the patient's case history at a particular provider. The health record as well as any electronically stored variant of the traditional paper files contain proper identification of the patient. Further information varies with the individual medical history of the patient.See more on en.wikipedia.org · Text under CCBYSA licenseMedical records are legal documents that can be used as evidence via a subpoena duces tecum, and are thus subject to the laws of the country/state in which they are produced. As such, there is great variability in rules governing production, ownership, accessibility, and destruction. There is some controversy regarding proof verifying the facts, or absence of facts in the record, apart fro…See more on en.wikipedia.org · Text under CCBYSA licenseTraditionally, medical records were written on paper and maintained in folders often divided into sections for each type of note, with new information added to each section chronologically. Active records are usually housed at the clinical site, but older records are often archived offsite. The advent of electronic medical records has not only changed the format of medical records but ha…See more on en.wikipedia.org · Text under CCBYSA licenseOwnership and keeping of patient's records varies from country to country.See more on en.wikipedia.org · Text under CCBYSA licenseYour Medical Records HHS.gov

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