This addresses the idea of informed consent in medical ethics, which must occur before her right to refuse treatment. The court simply stated, “a person of adult ye...
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...ses such as end-of-life, it is important for the continuity of patient information in medical records through the time span of the patient’s admission to their discharge date. This information is essential in legal proceedings for the protection of the hospital to show compliance with HIPAA laws as well as ethical standards. This information can be shown to prove the hospitals innocence in its duty of care to the patient and absolve of any wrongdoing. The HIM manager is also responsible for certifying health records when requested for a legal process. They must provide a written certification stating that all copies of the medical records provided to an attorney or court of law are exact from the original. Health information managers determine if the request is valid for a legal request such as subpoena or court order and determines the legal power of the document.
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