Are emails part of a medical record?

Are emails part of a medical record?

Request medical records online sanitas

The medical record comprises the set of documents relating to the care processes of each patient, with the identification of the doctors and other professionals who have been involved in them, in order to obtain the maximum possible integration of the clinical documentation of each patient, at least at the level of each center.BOE

Thanks to it, the health professional has access to all the patient’s medical information, whether or not he is the one who has filled it in (as may occur in cases where there is a change of physician or specialist).

The intensive use made of this document, and the security and privacy requirements it demands, have favored the use of digital media for consultation, editing and storage.

Likewise, this law emphasizes the obligation of the medical center to store this data securely, guaranteeing its privacy, security and the possibility of consultation of the information by the personnel authorized to do so.

Patient records

A large part of hospitals around the world live with paper medical records. Even in the United States, where the percentage is not as high, some healthcare organizations are still in the process of moving from paper to electronic systems.

Therefore, the creation of an Electronic Health Record provides us with a great opportunity to develop a weak aspect, even among existing systems: Patient quality and safety, as the core of electronic healthcare systems.

Information is the key to safety, yet every day we see systems around the world that are not complete and cause adverse events; records that are cancelled because they do not have enough information or show fragmented information.

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I am a pediatric intensivist and when I practiced medicine in Chicago, I always told the Fellows, “With a pen you can save someone’s life, or take it away”. One wrongly written decimal can easily kill a patient.

Medical history pdf

Objective. Accessibility to the primary care physician is a determining factor in the quality of health care. This study analyzes the implementation of an electronic mail service in a primary care practice.

Material and methods. Email consultations performed between October 2013 and September 2016 were retrospectively reviewed. We analyzed the profile of the patients, the type of consultation made and the pathologies referred to, the need for a face-to-face visit and the receipt of accompanying documentation.

Objective. accessibility to the Primary Care physician is a decisive factor in the Health Care quality. This paper analyzes the implementation of an e-mail-based consultation system in a Primary Care Center.

Material and methods. E-mail consultations between October 2013 and September 2016 were retrospectively reviewed. The patient profile, the type of consultation performed and the pathologies to which it refers, the need for a face-to-face consultation and receipt of attached documentation were analyzed.

Parts of the medical history pdf

The medical record comprises the set of documents relating to the care processes of each patient, with the identification of the physicians and other professionals who have intervened in them, in order to obtain the maximum possible integration of the clinical documentation of each patient, at least at the level of each center.BOE

Thanks to it, the health professional has access to all the patient’s medical information, whether or not he is the one who has filled it in (as may occur in cases where there is a change of physician or specialist).

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The intensive use made of this document, and the security and privacy requirements it demands, have favored the use of digital media for consultation, editing and storage.

Likewise, this law emphasizes the obligation of the medical center to store this data securely, guaranteeing its privacy, security and the possibility of consultation of the information by the personnel authorized to do so.

Are emails part of a medical record?
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