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CERTIFICATION OF ENROLLMENT ENGROSSED SUBSTITUTE SENATE BILL 5158 Chapter 468, Laws of 2005 59th Legislature 2005 Regular Session MEDICAL RECORDSDISCLOSUREEFFECTIVE DATE: 7/24/05Passed by the Senate
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Make sure to gather all necessary information such as patient details, date of visit, reason for visit, and any treatments or medications prescribed.
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Clearly document all information in the appropriate sections of the medical record, ensuring accuracy and completeness.
03
Include any pertinent lab results, imaging reports, or consultation notes related to the patient's visit.
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Follow all legal and ethical guidelines for documenting medical records, including patient confidentiality and informed consent.
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Review the completed medical record for any errors or missing information before finalizing and disclosing to authorized parties.

Who needs medical records--disclosure?

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Medical professionals such as doctors, nurses, and other healthcare providers who are involved in the care of the patient.
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Legal entities such as courts or law enforcement agencies that may need access to medical records for legal proceedings.
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Patients themselves or their authorized representatives who may request access to their own medical records for personal reasons.
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Medical records-disclosure is the process of sharing a patient's health information with authorized individuals or organizations for treatment, payment, or healthcare operations purposes.
Healthcare providers, health plans, and healthcare clearinghouses are required to file medical records-disclosure.
Medical records-disclosure can be filled out electronically or on paper, following the guidelines provided by the Health Insurance Portability and Accountability Act (HIPAA).
The purpose of medical records-disclosure is to ensure the privacy and security of patient health information while allowing authorized individuals to access relevant information for healthcare purposes.
Medical records-disclosure must include a patient's diagnoses, treatments, medications, and any other relevant health information that is necessary for healthcare providers to provide appropriate care.
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