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  2. AMA Manual of Style - Wikipedia

    en.wikipedia.org/wiki/AMA_Manual_of_Style

    AMA Manual of Style: A Guide for Authors and Editors is the style guide of the American Medical Association. It is written by the editors of JAMA ( Journal of the American Medical Association ) and the JAMA Network journals and is most recently published by Oxford University Press .

  3. Personal health record - Wikipedia

    en.wikipedia.org/wiki/Personal_health_record

    A personal health record (PHR) is a health record where health data and other information related to the care of a patient is maintained by the patient. [1] This stands in contrast to the more widely used electronic medical record, which is operated by institutions (such as hospitals) and contains data entered by clinicians (such as billing data) to support insurance claims.

  4. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    It makes the process of nursing assessment visible through what is presented in the documentation content. [4] During nursing assessment, a nurse systematically collects, verifies, analyses and communicates a health care client's information to derive a nursing diagnosis and plan individualized nursing care for the client. [5]

  5. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.

  6. Patient Safety and Quality Improvement Act - Wikipedia

    en.wikipedia.org/wiki/Patient_Safety_and_Quality...

    Patient safety work product includes any data, reports, records, memoranda, analyses (such as root cause analyses), or written or oral statements (or copies of any of this material), which are assembled or developed by a provider for reporting to a PSO and are reported to a PSO; or are developed by a patient safety organization for the conduct ...

  7. Health informatics - Wikipedia

    en.wikipedia.org/wiki/Health_informatics

    One of the federal laws enacted to safeguard patient's health information (medical record, billing information, treatment plan, etc.) and to guarantee patient's privacy is the Health Insurance Portability and Accountability Act of 1996 or HIPAA. [109] HIPAA gives patients the autonomy and control over their own health records. [109]

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  9. Medical privacy - Wikipedia

    en.wikipedia.org/wiki/Medical_privacy

    The privacy of patient information is guaranteed by articles 78 and 100 of legal code 5510. On the other hand, the Social Security Institution (SGK), which regulates and administers state-sponsored social security / insurance benefits, sells patient information after allegedly anonymizing the data, confirmed on October 25, 2014. [37]