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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.

500 Questions

How do i obtain medical records of my deceased child?

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Asked by Wiki User

To obtain the medical records of your deceased child, you will need to follow these steps:

  1. Contact the healthcare provider or hospital where your child received treatment and request the records.
  2. Provide the necessary identification and documentation to prove your relationship to the child and your authority to access the records.
  3. Be prepared to pay any applicable fees for the copies of the medical records.
  4. If the healthcare provider does not have the records, you can try reaching out to other healthcare professionals who were involved in your child's care for additional information.

Can the parent of a child that died get medical records?

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Asked by Wiki User

In most cases, the parent of a deceased child has the right to access their medical records. However, this can vary depending on the jurisdiction and specific circumstances. It is advisable to consult with legal professionals or contact the healthcare provider to understand the specific process and requirements for accessing the medical records.

Does your employer have the right to see all your medical records before your injury?

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Asked by Wiki User

No that can only be done by the courts.

A little more...As it says above, your employer cannot force you to release medical records. However, they can insist that certain tests and conditions exist (or don't exist) as a condition of employment. Barring very special cases (like HIV/AIDS which is sometimes protected under State law), this is legal.

How do you subpoena medical records?

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Asked by Wiki User

For your own records, you may sign an ROI (release of information) form. You may have to pay for copying costs, but that should be all.

When you do penis enlargement does it have any effect when I grow older?

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Asked by Michaelmpofugp2512

"Penis enlargement" simply doesn't work. There is no magic pill or food that will make your penis grow. You'll just have to rely on natural growth as you grow up.

When Incident records should be preserved for how many years?

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Asked by Wiki User

Incident records should typically be preserved for at least 5-7 years, but this may vary depending on industry regulations, legal requirements, and company policies. It's important to check specific guidelines that apply to your organization.

Who is the only person who can authenticate the information in a patient's medical record?

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Asked by Wiki User

The only person who can authenticate the information in a patient's medical record is the patient.

What circumstances must an individual be given the opportunity to agree or object to the use and disclosure of their PHI?

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Asked by Wiki User

An individual must be given the opportunity to agree or object to the use and disclosure of their PHI before their information is included in a facility directory

What is taken into consideration when determining which critical information should be protected?

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Asked by Wiki User

When determining which critical information should be protected, factors such as the sensitivity of the information, potential impact of unauthorized access or disclosure, legal and regulatory requirements, business value, and the potential threats and risks involved are taken into consideration. Organizations also consider the need for confidentiality, integrity, and availability of the information when determining the level of protection required.

What is one reason why medical records would be audited?

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Asked by Wiki User

Medical records may be audited:

To ensure that patient records are accurate

To demonstrate accurate coding and billing

To demonstrate accurate reporting of Meaningful Use or quality measures

What is a legal medical record?

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Asked by Wiki User

Documentation of services provided by a health care provider to a patient