Fundamentals of the legal health record

Reference no: EM133544091

Assignment:

Part I/Legal Health Record: Locate and read the AHIMA Practice Brief: Fundamentals of the Legal Health Record and Designated Record Set.

Answer the following questions based on the practice brief. Answer in your own words, not "copied and pasted" from the practice brief. Defend your answer with supporting information or examples as appropriate. It isn't necessary to cite the practice brief in APA, but you should indicate where you found the answer: Appendix A, heading name, etc.

a. The designated record set and the legal health record have distinct differences. Compare and contrast three differences clearly and concisely.

b. An organization must determine whether or not to include external records as part of their legal health record. What is your opinion? Support your view as appropriate.

c. Should alerts, reminders and pop-ups used as aids in clinical decision-making be considered part of the legal health record? Explain your answer.

d. Two types of data and documents that should not be included in the legal health record are administrative data and derived data. Define each type in your own words, and give one example of each.

Reference no: EM133544091

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