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7 Cards in this Set
- Front
- Back
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Implied or expressed consent |
The voluntary permission given by the patient for examination, testing and treatment |
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Compliance |
The act of following orders or doing what is expected or asked |
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Standard of care |
A set of guidelines that should be followed for each patient |
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Duty of care |
A set of actions that a person is obligated to follow in order to prevent harm to others |
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HIPAA Privacy Rule |
Provides federal protections for health information held by medical facilities and gives patients rights with respect to that information. Discolsure to anyone other than the patient or healthcare provider is a violation of the privacy rule. |
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Medical transcriptionist |
transform medical information, whatever the format, into a permanent record whether electronic or paper to document the care a patient receives in the health care environment |
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Electronic medical record |
Kept in a computer system and serves as the principle medical record for each patient. There are numerous vendors that provide EMR systems so systems will vary along medical practices. Each medical practice has its own EMR that is accessible soley by that practice. Contains demographics, record of medical treatment received, possible allergies, and medication history |
