CHAPTER 4
The Health Record
Objectives
After reading this chapter, you should be able to:
• Define the medical record
• Determine the various uses and users of the medical record
• Delineate documentation guidelines for medical records
• Distinguish among the various medical record formats
• Outline the advantages and disadvantages of the electronic health record
• Discuss the elements of the national health information infrastructure
• Differentiate among the four parts of the HIPAA
• Interpret the provisions of the HIPAA
• Develop a HIPAA compliance plan for implementing an EHR
• Identify the various components found in the inpatient and outpatient ...
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