The Legal Health Record

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(AHIMA RHIT)

Last updated 7:03 PM on 5/24/26
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20 Terms

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Legal Health Record

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Designated Record Set

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Medical Staff Bylaws

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Definition

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Maintenance

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Confidentiality

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Content

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Documentation

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Completion

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Timeliness

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Authentication

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Ownership

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Retention

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Destruction

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Corrections/Amendments

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Audit Controls

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Chart Audit

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Internal Audit Process

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Clinical Pertinence Reviews

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Audit Trail