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| The _____ _____ is a legal document admissible in court as evidence |
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| A ________ of the health record is taken to court |
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| Health information departments are ___________ ___________ departments |
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| _________ _________ departments affect hospital operation |
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| The health record is used to: |
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Definition
| communicate information pertaining to the patient, prepare health service statistics, and maintain quality assessment |
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Term
| _________ reports are included in the health record |
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Definition
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Term
| The standards for the maintenance and the adequacy of health records is established by the ________ |
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Term
| Health records are stored as: |
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Definition
| hard copy, microfilm, computerized form |
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Term
| All departments that take part in the care of a patient must document that care in the ________ __________ |
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Term
| The patient has access to his or her _________ _________ record |
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Term
| __________ __________ forms from the radiology department are part of the health record |
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Term
| The radiologic technologist should not allow the patient to examine his or her _________ __________ while in the radiology department. |
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Definition
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Term
| Hospitals have the right to charge a fee for copied __________. |
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Definition
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Term
| Student radiologic technologists bear __________ regarding patient confidentiality. |
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Definition
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Term
| Patients have the right to amend their _______ __________. |
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Definition
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Term
| The process that monitors and evaluates the quality of the care and services provided to patients within a helath care facility is termed ____________________. |
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Term
| Errors made in documentation are corrected by ______________________. |
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Definition
| the person that made the error |
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Term
| T/F: An authorization for treament, signed at admission, is an informed consent form. |
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Definition
| False; it is NOT an informed consent form. |
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Term
| Before a radiologic procedure is performed, a radiology _________ must be completed. |
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Definition
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