Examine the importance of medical records. Everyone from the top down in a hospital or medical...
Examine the importance of medical records. Everyone from the top down in a hospital or medical service is responsible for accurate medical records, billing, records release and other documentation. What are 2 important take-aways and What are the 2 most important things? What laws underpin those things?
Homework Answers
#. Importance of medical records :-
Medical records are legal documents that give a complete, chronological history of a patient's past medical history, current medical issues, treatment plan, and treatment outcome. Additionally, they act as a communication tool between care providers. The patient medical record provides physicians and other healthcare providers with all the important information, observations, and opinions that have been recorded about a patient.
Two important take away medical records are :-
- Discharge summary
- Bill
Two most important types of medical records are :-
- Administrative records
- Clinical records
#. In India, there are various legal provisions related to patient's rights which are scattered across different legal documents, such as:
The Constitution of India, Article 21
Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations 2002
The Consumer Protection Act 1986
Drugs and Cosmetic Act 1940
Clinical Establishment Act 2010 etc.
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