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  2. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    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 medical record is to ensure documentation of compliance with institutional, professional or governmental regulation.

  3. Electronic health record confidentiality - Wikipedia

    en.wikipedia.org/wiki/Electronic_health_record...

    Regardless of being in a paper form or electronic form, a medical health record is a tool of communication which helps in making clinical decisions, designing regulatory processes, accreditation, education, legal protection, research purposes, service coordination and evaluation of the efficacy and quality of healthcare provided. [1]

  4. Electronic health records in the United States - Wikipedia

    en.wikipedia.org/wiki/Electronic_health_records...

    Electronic medical records, like other medical records, must be kept in unaltered form and authenticated by the creator. [24] Under data protection legislation, the responsibility for patient records (irrespective of the form they are kept in) is always on the creator and custodian of the record, usually a health care practice or facility.

  5. Health Insurance Portability and Accountability Act - Wikipedia

    en.wikipedia.org/wiki/Health_Insurance...

    After an individual requests information in writing (typically using the provider's form for this purpose), a provider has up to 30 days to provide a copy of the information to the individual. An individual may request the information in electronic form or hard-copy, and the provider is obligated to attempt to conform to the requested format.

  6. State privacy laws of the United States - Wikipedia

    en.wikipedia.org/wiki/State_privacy_laws_of_the...

    In addition, the actual costs of reproducing x-rays or other special records may be included. For medical records provided in an electronic file, a flat fee that would not exceed the cost of providing the records in paper form may be charged. Records subpoenaed by the State Board of Medical Examiners are exempt from this law.

  7. Electronic prescribing - Wikipedia

    en.wikipedia.org/wiki/Electronic_prescribing

    Physicians, physician assistants, nurse practitioners and other prescribers will be able to use the system either through their existing electronic medical record or through a standalone application. Health Canada included supporting better prescribing practices, including e-prescribing, as part of its Action on Opioid Misuse plan.

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