The legal health record is defined as that containing the _____.
A) Complete and accurate description of the patient's history,condition,and care provided
B) Electronic and legal signatures of health care providers and ancillary staff members
C) Format or method by which information documented in the health record is stored
D) Type of testing performed,including data from the chargemaster or encounter form

Question

Quizplus · Accepted Answer

The legal health record is defined as the complete and accurate description of the patient's history, condition, and care provided. This includes all documentation related to the patient's care, such as progress notes, test results, and treatment plans. It is important for healthcare organizations to maintain a comprehensive and accurate legal health record to ensure patient safety, quality care, and compliance with legal and regulatory requirements.

The Legal Health Record Is Defined as That Containing the _____