A legal health record (LHR) refers to documentation about a patient's personal health information that is created by a healthcare organization or provider. |
19 апр. 2021 г. · The legal health record comprises of the documentation of the health information of a patient, which is created by a healthcare organization. |
The clinical record belongs in both the legal health record and the designated record set. Examples of clinical records include: History and physical. Orders ... |
For example, a patient's legal medical record may include the summary of findings from a recent endoscopy. |
Each Medical Record shall contain sufficient, accurate information to identify the patient, support the diagnosis, justify the treatment, document the course ... |
13 нояб. 2018 г. · Policy template to determine health care organizations' legal health records and to ensure integrity for legal and business purposes. |
The legal medical record contains individually identifiable data, stored on any medium, and collected and directly used in documenting healthcare or health ... |
20 февр. 2018 г. · Designated record sets include medical records, billing records, payment and claims records, health plan enrollment records, case management records, as well ... |
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