The Joint Commission standards require that the patient record contain patient- specific information proper to the consideration, treatment, and services provided. Due to the patient records contain clinical/ case information, demographic information, and other information the Medicare Conditions of Participation (CoP) required each hospital to establish a medical record service that has administrative obligation regarding medical records, and the hospital must keep up a medical record must be precisely composed, promptly completed, legitimately files, properly retain, and available. Within the hospital you have to utilize the system of author identification and record maintenance that ensures the integrity of the authentication and ensures
