Medical Records

Medical records are legal, written records concerning a patient's medical history, psychiatric history, chief complaint, symptoms, assessment and testing, diagnoses, symptoms, treatments and procedures, medications, and outcomes or responses. All medical professionals are required to document information in their patients' medical records. This category includes the common medical and legal forms patients must complete, what information might be written into a patient's record, how to obtain a copy of your patient record, and how to correct errors in your medical or mental health record.

2,060 Questions
Geometry
Military Medicine
Medical Records

What is the meaning of symbol R within a circle in a tablet strip?

The symbol capital R within a circle [®], or circled capital letter R, is the registered trademark symbol. This indicates that the product is registered with a national trademark office (ex: Registered, U.S. Patent and Trademark Office). If a trademark is not officially registered, then it will be marked with a superscript TM (in capitals).

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Medical Records

A Soldier's medical record can only be released with the Soldier's permission for national security?

A Soldier's medical record can only be released with the Soldier's permission for national security

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US Army
Medical Records

What happens to the old medical records from Silas B Hayes Army Hospital at Fort Urd California?

Medical records of dependents were retired to the National Records Holding area Saint Louis. The military medical records went from installation to installation with the soldier, and then would be in the St. Louis National Archives with the personnel records.

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Medical Records

What kind of statement is it if a carer just writes slept well?

Critical

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Medical Records

Should medical records be signed with blue or black pen?

Preferably in black pen. Blue pen does not show up very well when photocopied.

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Health
Medical Records

What color pen should medical records be written in?

I was told by my colleague that we should write in black pen. I don't know the reason behind it though. If it's up to me, any color should be fine as long as the writing is illegible. Even if people write in black pen, if it's unreadable then what's that point. Writing classes should be included in medical courses.

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Health
Social Work
Medical Records

What are the guidelines for sharing storing and recording information in health and social care?

Recording clients information within for instance, a care home is vital as these are vulnerable adults who need protection from predators out here who have nothing better to do with themselves, but to prey on the vulnerable. Perhaps selling personal details if they can get their hands on it, or to withdraw cash or whatever scheming way they can congour up. That's is the reason for storing, filing and locking under lock and bolt. Another way is to store on PC with password. Remember to follow your company's policy and procedure and the government data protection act 1998. Recording accurate information and making up lies etc.

Storing or filing in a safe place away from leaches, vermins who prey on the weak and helpless. Thank GOD for the LAW of the land to put them behind bars when the finally get caught. Name and shame on national television.

Sharing of private info. of your clients is no,no. Only to whom it is required to again following policy and procedures. Chandrea. I'm not an expert just sharing my opinion. tk yu

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Medical Records
Health Insurance Portability and Accountability Act (HIPAA)

Is True or false the hipaa and security rules dictate that all who may come into contact with protected health information go through training on hipaa policy?

true

567
Electronics
Medical Records

In regard to electronic medical records what is the policy for disclosing authorized data requested by third parties?

Yes , because I fill that every should have a right to their medical and know who on there record.

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Medical Records

How long do employee medical and exposure records be kept?

federal

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Medical Records
Health Insurance Portability and Accountability Act (HIPAA)

Can your husband access your medical records under the HIPAA law?

Yes, but only limited information which is absolutely necessary and in under specific circumstances. One instance is if the person/spouse has a communicable disease, another is when the spouse is unable for whatever reason to communicate with medical care providers. If the wife is legally competant, she is entitled to forbid all access to her own PHI to her husband, which she should do specifically. In the case where the wife is not legally competant (which surely doesn't seem likely if she wrote this question), the decision to access her PHI will be controlled and decided by: * Existing proof of a Personal Representitve as defined in HIPAA Privacy Rule section 164.502(g)(2). This is someone the wife chooses or is assigned by the court. * Anyone designated in a Power Of Attorney, Living Will or similar document, wherein the wife specifically allows communication. * Anyone the court designates as Personal Representitive (Ibid). And that's about it. Even in the event of a communicable disease, it is not at all clear that the husband is entitled to break the PHI seal. HIPAA itself is not clear on this point, and no case law exists yet, so the first time this comes to court, it'll be ... interesting. The one exception that comes to mind is, if the husband is the primary on her insurance, he can be presented with a listing of services the Insurance COmpany paid for. However, as the Payer is only entitled to "Minimum Necessary" PHI and is required to pass on only "minimum necessary", they can't really say too much about what happened, and they cannot specifically declare a diagnosis. This can potentially be broken by a Grand Jury subpeona, or by a Court Order, but to my knowledge, no-one's even tried to do this, as the release of PHI is highly unlikely. In summary -- not likely at ALL.

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Medical Records

Medical Records Moving ?

form_title= Medical Records Moving form_header=Protect your medical records with confidential and secure moving help. Are the items in a particular order?*= () Yes () No () Not Sure Do you need a safety file box to move the records? = () Yes () No () Not Sure How many files will you be moving?* =_ Are the items backed up in case of theft or fire? *= () Yes () No () Not Sure

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Medical Records

What does EMR training consist of?

Electronic medical record (EMR) training usually is conducted over several weeks and consists of a series of modules instructing medical personnel on how to create electronic patient charts, how to prescribe medication using digital software, and how to scan hard copy medical records into a patients digital file. Training also includes instruction on using technology to manage laboratory results and transcriptions.

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Medical Records

Will a substance abuse treatment center keep all my information completely confidential?

Yes, the patient and doctor relationship and medical records are private and confidential. They may be released to appropriate law enforcement agencies if needed as well as to insurance companies for billing purposes.

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Medical Records

Moving Medical Records?

form_title=Moving Medical Records form_header=Protect your medical records with confidential and secure moving. Get help moving medical records from qualified moving professionals. Are the items in a particular order?= () Yes () No () Not Sure Do you need a safety file box to move the records? = () Yes () No () Not Sure How many files will you be moving? =_ Are the items backed up in case of theft or fire? = () Yes () No () Not Sure

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Medical Records

Medical Records Storage?

form_title=Medical Records Storage form_header=Keep the clutter away! Store your medical records in a safe and confidential place. How frequently do you need acess to these records? =_ How many records will need to be moved? =_ How long will you want to store these items? = {(),1 to 3 months,3 to 6 months,6 to 9 months,9 to 12 months,More than a year} What date will you need them moved by? =_

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Medical Records

Where can one find past medical history records?

I would start with your primary doctor's office. They will have history on any visits within their facility, as well as any patient records that may have transferred over to them when you became a new patient there.

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Medical Records

Where can I get my medical records electronically?

You would need to talk with the hospital or physician that has your medical records to see if they have an electronic record system. Only about 20% of US physicians have the capability of sending you your medical records electronically. You could have your records transferred to a hospital that does, but that may require you to have an appointment at the hospital.

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Medical Records

How secure are electronic medical records?

Medical records are pretty secure online. As with any information online any hacker with enough knowledge and experience can always find the information but it takes a lot of effort.

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Medical Records

Does every doctors surgery have Electronic Medical Record of you or do they still use normal folders/files.?

Doctors in Big advanced hospitals are maintaining their Patients medical records electronically. It will be easy for them review their patients medical contion even at their home. Some small clinic doctors still using folders/files to keep their patients medical records.

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Medical Records

What are the dangers and security risks of using electronic medical records?

All electronic records have some security risks. However they also allow doctors to share information that saves time, lives and money so the trade off is in their favor.

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Medical Records

Do doctors keep electronic health records?

Yes Doctors keep records in computers and databases. Though they keep paper files too.

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Medical Records

I had a slip and fall in a super market. I had previous injuries long ago, to my back. No signs posted. My doctor has made error's in my medical records and is hurting my case. The doctor refuses to go back and make correction's. Is this malpractice?

You should contact a malpractice attorney to investigte any wrongdoings.

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Medical Records

Are my records private to my eployer such as blood work urines and any diseases?

There is a medical privacy law known as HIPPA compliance that anyone and everyone who has access to your medical records must abide by.

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Medical Records

Can a soldiers request to access to their medical record be restricted?

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