Certain guidelines are needed for managing medical electronic records so that medical professionals

Page 1

1. Patient Characteristics

The registration form must be used to gather the following information:

 Name, address, and phone number

 Age, sexual orientation, occupation, and company name, address, and phone numbers

 Contact information for emergencies

2. Medical Background

This needs to have -

 current issue

 disease history

 Previous therapies

 allergy vaccination

 participation in physical pursuits like sports or employment in law enforcement, firefighting, or the military

 Use of drugs, alcohol, or smokers in the past

 family background

3. Details on Insurance Insurance Name and contact details of the payer Policy number

Then, if a Dependence,

 Responsible Individual Name, address, and phone number

 Name, contact details, and occupation of the responsible party

 Connection to the Accountable individual

4. Consent Form This form is used when normal medical procedures and a specific treatment are required. In certain situations, physicians require a completed consent form with the following details regarding the treatment:

 Name of the therapy/procedure

 Recovery time Advantages and Hazards

 consequences if treatment is not received

5. Medications

 Medical advice Medication and dose

 medical instruments or equipment

6. Test outcomes

 Outcomes of imaging, scanning, and blood testing

 Result interpretation

Certain guidelines are needed for managing medical electronic records so that medical professionals can execute the proper workflows.

7. Notification of Privacy

This is done in order to educate patients on their right to medical information confidentiality. Regulation requires this.

Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.
Certain guidelines are needed for managing medical electronic records so that medical professionals by osplabsh - Issuu