The Extraction Of A Tooth Or Vision Testing - 2420 Words

Medical records are documents that are archived physically or electronically. They contain the personal health information (PHI) of people who have received services from health care providers in an agency relationship. Medical records are made accessible to outside sources based on a release signed by the owner of the records or a relevant need to know by emergency medical services or court order. State and federal laws protects the privacy and security of PHI and, financial penalties and imprisonment can be assessed on violators of such laws. Anyone who enters a hospital or sees a doctor for any health reason generates a medical record. The extraction of a tooth or vision testing culminates in a written document called patients health†¦show more content†¦There must be a filing system in place to safely contain patient health information. Written consent is required before a patient’s personal health information PHI) is released (Wing, 2009), except for emergency medical situations (Smugar, Spina Merz, 2000 ) as mandated by the legal system. Young adults are given the same rights of confidentiality as adults which differ from HIPAA regulations. Release consent must specify the entity to whom the patient information is authorized to receive, specific information to be disclosed, and must bare the patient’s signature. Information requested to be released for legal purposes must go through legal counsel prior to being released. Disclosed information must be quantitative or in a summarized format. Medical Records Security Patient health records must be protected from unauthorized personnel due to the confidentiality of content. A written consent must be documented by HIPAA certified personnel overseeing patient health