Medical record

From Health Encyclopedia

Contents 1 Used for 2 See for 3 Broader Terms 4 Narrower Terms 5 Facts (generated by robot; please edit if you find it inaccurate)

Used for

death record, health record

See for

patient information system

Broader Terms

patient care management

Narrower Terms

automated medical record system, case history, personal log /diary

Facts (generated by robot; please edit if you find it inaccurate)

• The medical record is a systematic documentation of a patient's medical history and care.
• The medical record is the legal property of the UTMB Hospitals and should always remain in the custody of UTMBs Health Information Management Department.
• Access to the medical record is to be restricted to only those individuals who have a legitimate need to know for use in the normal course of business and who provide a valid UTMB ID badge and/or appropriate documentation to access the information.
• Definition A medical record is not complete until all of the following conditions have been met: 1.
• If a request is made to release the record to an attorney or insurance company, the medical record is given to the Provider who saw the patient on the requested date of service.

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