Chapter 12 Keywords
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Access | The ability to learn the contents of a record by obtaining it or having the contents revealed.
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| Advance Directive | A written document, such as a living will, that specifies a patient’s wishes for his or her care and dictates power of attorney, for the purpose of providing clear instructions in the event the patient is unable to do so.
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| Amendment | A change to the original document
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| Certification | The custodian’s authentication that the copies of the medical records used in litigation are true and complete.
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| Competency | The ability to successfully complete a task or skill
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| Confidential Communications | The sharing of patient health information protected from disclosure in courts, such as patient/physician. Refers to transmission of information to minimize the risk of inadvertent disclosure, such as patient requesting mailing to an alternative address.
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| Consent | An agreement or permission to receive health care services.
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| Court Order | The direction of a judge who has made a decision that an order to produce information (on the record) is necessary.
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| Custodian | The person entrusted with the responsibility for the confidentiality, privacy, and security of medical records.
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| Discovery | The process of investigating the circumstances surrounding a law
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| Federal Drug and Alcohol Abuse Regulations | Regulations at the national level addressing requirements for disclosure of chemical and alcohol abuse patient information.
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| Hearsay Rule | The court rule that prohibits most testimony regarding events by parties who were not directly involved in the event.
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| Jurisdiction | The authority of a court to decide certain cases. May be used on geography, money, or type of case.
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| Litigation | The term used to indicate that a matter must be settled by the court and the process of engaging in legal proceedings.
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| Negligence | Carelessness or lack of foresight that leads to harm or damage
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| Plaintiff | The party who initiated litigation
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| Preemption | The legal principle supporting the HIPAA stipulation that when the privacy regulations conflict with state law, the regulation or law that gives the patient more rights or is more restrictive should prevail.
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| Release of Information (ROI) | The term used to describe the health information department function that provides disclosure of patient health information.
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| Retention | The procedures governing the storage of records, including duration, location, security and access.
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| Security | The administrative, physical, and technologic safeguards used to protect patient health information.
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| Statue | A law that has been passed by the legislative branch of government
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| Subpoena | A direction from an officer of the court.
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| Subpoena Duces Tecum | A direction from an officer of the court to provide documents.
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| Tort | Harm, damage, or wrongdoing that entitles the injured party to compensation.
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| Verification | Confirming accuracy.
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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