By Staff Reporters
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The Designated Medical Record Set [DMRS]: Contains medical and billing records and any other records that a physician, hospital, clinic and/or medical practice utilizes for making decisions about a patient; a hospital, emerging healthcare organization, or other healthcare organization. It serves to define which set of information comprises “protected health information” and which set does not; or contains medical or mixed billing records, and any other information that a physician and/or medical practice utilizes for making decisions about a patient.
It is up to the hospital or healthcare organization to define which set of information comprises “protected health information” and which does not though logically this should not differ from locale to locale. The patient has the right to know who in the lengthy data chain has seen their Protected Health Information. This sets up an audit challenge for the medical organization, especially if the accountability is programmed, and other examiners view the document without cause.
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COMMENTS APPRECIATED
Thank You
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Filed under: "Doctors Only", Career Development, Glossary Terms, Information Technology | Tagged: designated medical record set, dmrs, eHR, eMR, HIPAA, HIT, IT, PHI, protected health information | Leave a comment »