Definition Of Medical Record

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Medical record Definition & Meaning | Merriam-Webster …

https://www.merriam-webster.com/medical/medical%20record

medical record noun : a record of a patient's medical information (as medical history, care or treatments received, test results, diagnoses, and medications taken) Dictionary Entries Near medical record medical psychology medical record …

Medical record | definition of medical record by Medical …

https://medical-dictionary.thefreedictionary.com/medical+record

re·cord. 1. In dentistry or medicine, written account that includes a patient's initial complaint (s) and medical history, physical findings, tests results, any therapeutic …

Fundamentals of the Legal Health Record and …

https://library.ahima.org/doc?oid=104008

Definition. A group of records maintained by or for a covered entity that is the medical and billing records about individuals; enrollment, payment, claims adjudication, and …

Defining the Medical Record: Relationships of the Legal …

https://perspectives.ahima.org/page/defining-the-medical-record-relationships-of-the-legal-medical-record-the-designated-record-set-and-the-electronic-health-record

For many people, all information contained in the electronic health record (EHR) is synonymous with “medical record” or even “legal medical record.” This is an erroneous …

Medical records | definition of Medical records by …

https://medical-dictionary.thefreedictionary.com/Medical+records

1. In medicine or dentistry, a chronologic written account that includes a patient's initial complaint (s) and medical history, physical findings, results of diagnostic tests and …

CMS Manual System - Centers for Medicare

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R47SOMA.pdf

All entries in the medical record must be complete. A medical record is considered complete if it contains sufficient information to identify the patient; support the …

What is an electronic health record (EHR)? | HealthIT.gov

https://www.healthit.gov/faq/what-electronic-health-record-ehr

An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely …

What is Considered Protected Health …

https://www.hipaajournal.com/what-is-considered-protected-health-information-under-hipaa/

This standard defines designated record sets as “a group of records maintained by or for a Covered Entity that is the medical records and billing records about …

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