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Privacy & confidentiality
Children's care and separated parents
When caring for a child whose parents are separated the best interests of the child are always paramount which can be difficult when the parents don t agree what that involves. In this factsheet we of...
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Factsheets
Medical records
Medical records - the essentials
The requirements for medical records include clinical guidelines and legal responsibilities. They are also a key communication tool important evidence of the care you have given for colleagues to Medi...
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Claims insights
Medical records
Medical record-keeping in claims
What are the main issues raised in member claims in relation to record-keeping? Find out the underlying themes across all specialties and insights to reduce your risk of these types of claims in our a...
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Medical records
Privacy & confidentiality
Insurer requests sensitive medical record? Do I send the file?
Patient privacy and confidentiality can be a complex area for doctors to navigate. Requests for records or sensitive information especially from third parties are not always straightforward. The follo...
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Medical records
Videos
Managing requests for medical records
You may receive requests from a third party for a patient s medical records. This video will advise you about your clinical and legal responsibilities.
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Medical records
Completing a death certificate
The medical certificate of cause of death (MCCD) or death certificate is an important legal document.This factsheet and attached flow charts will outline the specific responsibilities for your state.
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eLearning courses
Medical records
Medical records: Chapter one — documentation
The requirements for medical records include clinical guidelines and legal responsibilities. They are also a key communication tool important evidence of the care you have given for colleagues to Medi...
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eLearning courses
Medical records
Medical records: Chapter two — legal requirements
The requirements for medical records include clinical guidelines and legal responsibilities. Your legal responsibilities include the obligations for privacy storage and retention of records. The key r...
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eLearning courses
Medical records
Medical records: Chapter three — activity
The requirements for the documentation of a consultation includes having a systematic and contemporaneous account of the consultation. For this activity you will need to watch one or both of the video...
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Articles
Medical records
Good records absolve radiologist in complaint
A case where a radiologist was part of the care team involved in a missed diagnosis complaint underlines the importance of having detailed medical records and communicating significant findings direct...
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