Term
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Definition
| collection of data recordd when a patient seeks medical treatment |
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Term
| Name the five C's for correctly entering unformation into patients medical records |
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Definition
| Concise, complete, clear, correct and chronologically order |
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Term
| what would prevail in court the medical records of the patients recolection |
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Definition
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Term
| define doctrine of professional discretion |
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Definition
| a principle unde whihc a physician can exercise judgement as to whether to show patients who are bein terated for mental or emotional conditions their records |
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Term
| Do you have the right to view all of your records |
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Definition
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Term
| how are your medical records retqained |
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Definition
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Term
| in a court of law when your records are supenoed do you have to have patients concent |
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Definition
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Term
| can a doctor be sued for reach of confidentialy wen requried to produce a ptients medica records in court |
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Definition
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Term
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Definition
| a physican's obligation to his or her pateint, based on trust and confidence |
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Term
which is less at a risk for confidentialy risk? email, copies, fax machine, printer |
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Definition
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Term
| define Confidentially of Alcholol and DRug ABuse, patient records |
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Definition
| A federal statue that protects patients with histories of substance abuse reagarding the release of information about treatment |
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Term
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Definition
| permission from patient, either expressed or implied, for something to be done by another |
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Term
define doctrine of informed consent |
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Definition
| the legal basis for informed consent, usually outlined in a states medical practice acts |
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Term
| can you release informaiton about substnace aduse for court cases without the patients approva |
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Definition
| under no circumstances can this be released without the patients approval |
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Term
| can the mental individuals judeged by the court to be insane, senile, mentlaly chanlledn or under the influence of drugs or alcholos give concentNO |
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Definition
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Term
| explain the good samaritian act |
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Definition
| state law protecting physicnas and sometimes other health care paractioners and layperson from charges of negligence of abandonment if they stop to help the victim of an accident or other emergency |
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Term
| define the unifrom anatomical gift act |
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Definition
| a natinal statue allowing individuals to donate their bodies or body parts, after death for use in transplant surgery, tissue banks or medical research or education |
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Term
what is the national organ transplant act |
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Definition
| passed in 1984, a statue that provides grants to qualified organ procurement organization and established an ORgan Procurment and tranplantation network |
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Term
| what does HIPPA stand for |
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Definition
| Health Insurance portability and accountability ACT |
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Term
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Definition
| Freedom from unauthorized intrustion |
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Term
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Definition
| freedom from unauthorized instrusion |
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Term
| which amendment in the constition related to personal privacy |
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Definition
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Term
| Define Health insurance portability and accountability act |
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Definition
| Federal law passed in 1996 to protect privacy and other health care right for patients |
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Term
| under HIPPA what are the covered entities |
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Definition
| hospitals, nursing homes, hospices, pharmacies, laboritation, health plans, health care clearinghouses |
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Term
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Definition
| if a state's privacy laws are stricter than HIPPA privacy standards, the state laws take precedence |
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Term
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Definition
| notice of privacy practices |
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Term
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Definition
| includes records maintained by or for a covered entitiy |
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Term
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Definition
If a state's privacy laws are stridkter than HIPPA privacy standards, the state laws take precedence |
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Term
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Definition
| treatment payment and healthcare operations. |
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Term
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Definition
| a general HIPAA requirement |
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Term
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Definition
| Document that includes the standards |
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Term
| Name the four set of standards under the HIPPA |
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Definition
| Transactions and Code Sets, PRivacy Rule, Security Rule, National Identifier Standards |
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Term
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Definition
| transmission of information between two parties for financial or administratie activities |
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Term
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Definition
| Any set of codes used to encode health care data elements |
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Term
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Definition
| a reason for each use and disclosure of patient information |
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Term
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Definition
| verify the identification of anyone requesting of anyone requsting patient information |
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Term
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Definition
| the limited amount of patient information to be disclosed, depending on circumstances |
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Term
| Is medical records a legal document? |
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Definition
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Term
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Definition
| policies and procedures used to protect electronic informaiton from unautorized access |
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Term
| can a physician sent patients medical record to another physican office without the patient consent |
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Definition
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Term
can family members pick up xrays, prescip etc for patients |
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Definition
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