Essay On Electronic Medical Record

The Purpose of the medical record? A medical record is a document that contains personal information about the patient health and treatment plan for the patient until births until death .Medical Record is multiplying purpose used one is for physician keep update medical record for all the time you visit the hospital or clinic this include examination , diagnosis, and treatment The second purpose of the medical record provides necessary data and also for statistics that can be you to keep track of the number of individuals with the same diagnosis and the third is keeping a financial record called date sheet for all your procedure and treatment plan. What is an Electronic Medical record? An electronic medical record is a digital computerized patient chart on a software this allows healthcare worker to have easy access to a patient health information for instance patient past medical history , diagnoses ,medication , immunization , laboratory result . The electronic record is used by physicians because it provides instant access to

Each individual patient’s has the right to keep their health information private they also have a say in who has access a medical record and each healthcare employee must sign a confidentiality contract and failure not comply with the agreement will result in legal action. To protecting patient rights no medical information should be released without the patient consent in writing. To release any information the patient must first fill out an authorization form and the physician’s must sign the consent form to be release the information. The patient must get a specific reason why this information is being released and how this information should be given or received by the patient. The Patient Medical record is protected by Health Insurance Portability Accountability Act is the organization that regulates the privacy of patient’s health information. HIPAA was passed into law the year 1996