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Question: Regardless of format, paper-based or electronic, the maintenance of health records that are properly created and maintained in the normal course of business is governed by the same laws, regulations, and standards. In this activity, you will determine if the amendment made to the health record is appropriate. Instructions Review the section entitled "Amending the Patient Record" found in Chapter 4 of your textbook. For added information also review the "Patient Access and Amendment to Health Records" practice brief on AHIMA's website. Go to ahima.org. At the top of the page, click on HIM Body of Knowledge. Scroll down under Popular Resources and click on Practice Briefs. In the Search box, enter "Patient Access and Amendment to Health Records" and locate the following practice brief with that title (publication date 10/2/2013). Review each patient record entry, determine whether the entry is appropriately or inappropriately amended, and explain why the amended patient record entry was appropriately or inappropriately documented. Dr. Smith corrects the entry below by crossing out the 70 mg Lasix dosage and entering 80 mg. He then initialed and dated the new entry. Is this the proper way to amend the record? If not, indicate the correct method.
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