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Is it legal to have someone rewrite the medical record even if they did not see the patient and shred the original?
Wiki User
∙ 13y ago
If it isn't illegal it most certainly appears unethical. Medical notes are usually written and signed or initialed by the person making the original entries. The fact that a record has been re-written, and the original destroyed, could possibly raise the question as to how, or whether, the original record was altered during the re-writing. If it became a matter of future concern (as in a legal proceeding) all parties to the event would have to be subpoeanad and questioned as to the event.
Wiki User
∙ 13y ago
No, it is not legal to have someone rewrite a medical record without having seen the patient and then shred the original. This would be considered falsifying medical records, which is illegal and unethical. Any alterations or amendments to a medical record should be accurately documented and maintained for legal and ethical reasons.
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