record /rec·ord/ (rek´erd)
record
record [rek´ord]
record,
record
Patient discussion about record.
1. a permanent or long-lasting account of something (as on film, in writing, etc.).
2. in dentistry, a registration.
problem-oriented record (POR) a method of patient care record keeping that focuses on specific health care problems and a cooperative health care plan designed to cope with the identified problems. The components of the POR are: data base, which contains information required for each patient regardless of diagnosis or presenting problems; problem list, which contains the major problems currently needing attention; plan, which specifies what is to be done with regard to each problem; progress notes, which document the observations, assessments, nursing care plans, physician's orders, etc., of all health care personnel directly involved in the care of the patient. See also SOAP.
re·cord (r -kôrd )v. 1. To set down for preservation in writing or other permanent form. 2. To register or indicate. n. rec·ord (r  k rd)1. An account, as of information or facts, set down especially in writing as a means of preserving knowledge. 2. A medical record. 3. In dentistry, a registration of desired jaw relations in a plastic material or on a device so that such relations may be transferred to an articulator. 4. The known history of performance, activities, or achievement. 5. A collection of related, often adjacent items of computer data, treated as a unit. |
record
[rek′ərd]
a written form of communication that permanently documents information relevant to the care of a patient.
record [rek´ord]
1. a permanent or long-lasting account of something, such as in writing or on film.
2. in dentistry, a registration.
bibliographic record an index record standing for or representing a journal article, book, or other document.
Problem-Oriented record (Problem-Oriented Medical record) see problem-oriented record.
record,
n information committed to and preserved in writing or electronically.
record base,
n See baseplate.
record, centric interocclusal,
n a record of the centric jaw position (relation).
record, eccentric interocclusal
n a record of a jaw relation other than the centric relation; a record of a lateral eccentric jaw position.
)
Eccentric interocclusal record.
record, face-bow,
n registration, by means of a face-bow, of the position of the mandibular axis or the condyles. The face-bow record is used to orient the maxillary cast to the opening and closing axis of the articulator.
record, functional chew-in,
n 1. a record of the natural chewing movement of the mandible made on an occlusion rim by teeth or scribing studs.
n 2. a record of the movements of the mandible made on the occluding surface of the opposing occlusion rim by teeth or scribing studs and produced by simulated chewing movements.
n 2. a record of the movements of the mandible made on the occluding surface of the opposing occlusion rim by teeth or scribing studs and produced by simulated chewing movements.
record, interocclusal,
n a record of the positional relation of the teeth or jaws to each other; made on occlusal surfaces of occlusal rims or teeth in a plastic material that hardens, such as plaster of paris, wax, zinc oxide-eugenol paste, or acrylic resin.
record, jaw relation,
n a registration of any positional relationship of the mandible in reference to the maxillae. The record may be of any of the many vertical, horizontal, or orientation relations.
record, maxillomandibular relationship,
n See record, interocclusal.
record, occluding centric relation,
n a registration of centric relation made at the vertical dimension at which the teeth make contact or are to make contact.
record, patient, legal aspects of,
n.pl record must include proper identification of patient, signed consent forms, a complete medical and dental history, progress notes, and clinical observations from patient examinations. Improper record-keeping is grounds for malpractice. Records are also strictly confidential–unauthorized or inappropriate disclosure is an invasion of privacy and liable for legal action.
record, plaque control,
n document used to measure and assist the progress of a patient undertaking a more purposeful approach to controlling bacterial plaque.
record, preoperative,
n a record or records made for the purpose of study, diagnosis, or use in treatment planning or for comparison of treatment results with the pretreatment status of the patient.
record, profile,
n a registration or record of the profile of a patient's face.
record, protrusive,
n a registration of the relation of the mandible to the maxillae when the mandible is anterior to its centric relation with the maxillae.
record, protrusive interocclusal,
n a record of a protruded eccentric jaw position.
record rim,
n See rim, occlusion.
record, terminal jaw relation,
n a record of the relationship of the mandible to the maxillae made at the vertical relation of the occlusion and at the centric position.
record, three-dimensional,
n a maxillomandibular interocclusal record.
record
a permanent or long-lasting account of something (as on film, in writing, etc.); see also medical records.
record
Medtalk A permanent document in the form of a writing, files, photographs, etc. See Electronic medical record, Medical record, Medical administration record, Open record, Patient record, Problem-oriented medical record, Sealed record.
Cf Chart.
Patient discussion about record.
Q. ex-wife works in hospital and accesses my and my familys medical records what can i/we do about this legally this is done without any consent she has computer acess to any records and accesses them upon her own
A. If you are sure of this she is breaking the law...Hippa protects patient right and this is a clear voliation of those right. I suggest you get a copy of the hospitals Right to Privacy , HIPPA paperwork. Then If you can prove this write a letter to hospital admenistration and one to her supervisor and/or director. Let them know you know this is a violation of patient rights and you want it dealt with immediatly or you will seek out legal council. They should responded to your letter in avery timely matter. If you do not have proof discuss with someone in medical record about the "need to know" bases and if ther eis no reason for her to know this information( she could be one tha thas to put it on your records) you would like to be assured she has no access to them and if she is doing a job that would give her the right ask that they please have someone else in the department handle you and your family dure to personal reasons. I encourage you to handle this in a very proffesi
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