Conceptual Framework on Health Records

The Data
Protection Act 1998 defines health records as “Any electronic or paper
information recorded about a person for the purpose of managing their health
care”. This can include a range of different records from the multidisciplinary
team care plan, hospital nursing and medical records, other members of primary
health care team records, out-patient records and examination / test results /
monitoring equipment, print outs / photographs of the patient x-rays, other
laboratory records and digital / electronic record.

Washington
Institute of Medicine (1996) view health records as a systematic documentation
of a single patients medical history and care at a time within one particular
health care provider’s jurisdiction. They went further, that medical records
includes variety of types of “note” entered overtime by health care
professionals, recorded observations, administration of drugs, therapies test
results and x-rays report e.t.c.
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