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10 Cards in this Set

  • Front
  • Back
Collection of data recorded when a patient seeks medical treatment?
medical record
A principle under which a physician can exercise judgement as to whether to show patients who are being treated for mental/emotional conditions their records?
doctrine of professional discretion.
A physician's obligation to his/her patient,based on trust & confidence?
fiduciary duty
Federal statute that protects patients with histories of substances abuse regarding the release of info. about treatment?
Confidentiality of Alcohol and Drug Abuse,Patient Records.
Permission from a patient,either expressed or implied,for something to be done by another?
consent
The legal basis for informed consent,usually outlined in a state's medical practice acts?
doctrine of informed consent
State laws protecting physicians and sometimes other health care practitioners and laypersons form charges of negligence/abandonment if they stop to help a victim in emergency/accident?
Good Samaritan Acts
A national statute allowing individuals to donate their bodies/body parts, after death?
Uniform Anatomical Gift Act
Passed in 1984, a statute that provides grants to qualified organ procurement org. and established an Organ Procurement and Transplantation Network?
National Organ Transplant Act
What are the 5 C's for correctly entering info. into a medical record?
1.Concise
2.Complete
3.Clear
4.Correct
5.Chronological Order