Automated Medical Records and the Law

accurate and complete actions administrative admission agencies anesthesia attending physician attorney authenticated automated medical record automated system Central Processing Unit clinical Code complete medical records condition on discharge contain copy court Creation and Contents data processing devices Disclosure Authorized entry evidence files final diagnosis history and physical hospital records hospital's identification data laboratory liability Licensing long mode machine magnetic tape maintained manual mation medical rec MEDICAL RECORD DEPARTMENT medical record information medical record system medical staff ment mental microfilm minimum nurses operation ords password patient patient's record person personnel physi physical examination physician-patient privilege applies plaintiff privacy transformations privileged communications statute problems procedures professional programs progress notes protection provisional diagnosis reference regulations provide relating reports res ipsa loquitur respondeat superior responsibility Retention retrieval Section Signature Requirements specific standards Stat storage subpoena Supp surgeons terminal tient time-shared tion treatment written in ink X-ray