Clinical record definition

Clinical record means a legible electronic or hard-copy history that documents the criteria established for medical records as set forth in rule 441—79.3(249A). A claim form or billing statement does not constitute a clinical record.

Clinical record means either a paper, or electronic file, or both that is maintained by the behavioral health agency and contains pertinent psychological, medical, and clinical information for each individual served.

Clinical record means the medical, dental, or mental health records of a client or member.

Examples of Clinical record in a sentence

• Clinical record information is safe- guarded against loss or unauthorized use.

• Operations for Service Documentation450:27-5-21 Clinical record keeping system450:27-5-22 Clinical record system; basic requirements 450:27-5-23 Record access for clinical staff Part 5.

• The committee will consider and compare the referees' arguments (also among each other) and examine whether the rebuttal contains a well-formulated response to the critical comments from the referees' reports.Furthermore, the committee, unlike the referees, assesses the quality of all proposals and rebuttals submitted.

• Operations for Service Documentation [REVOKED]450:27-5-21 Clinical record keeping system [REVOKED]450:27-5-22 Clinical record system; basic requirements [REVOKED]450:27-5-23 Record access for clinical staff [REVOKED] Part 5.

• History-taking, clinical examination and presentation of findings Poor Adequate Good Excellent Not Observed N/A Clinical judgement and decision-making skills Poor Adequate Good Excellent Not Observed N/A Clinical record keeping skills Poor Adequate Good Excellent Not Observed N/A Clinical skills Poor Adequate Good Excellent Not Observed N/A Additional comments on clinical skills and knowledge base in the applicant’s requested scope of clinical practice.

More Definitions of Clinical record

Clinical record means a clinical record maintained in accordance with the Bylaws of the College of Physicians and Surgeons of British Columbia and an adequate medical record in accordance with the Medical Services Commission Payment Schedule.

Clinical record means all parts of the record required to be maintained and includes all medical records, progress notes, charts, and admission and discharge data, and all other information recorded by a facility which pertains to the patient’s hospitalization or treatment.

Clinical record means a written account which covers the services the agency provides directly and those provided through arrangements with another agency which account contains pertinent past and current medical, nursing, social, and other therapeutic information, including the plan of treatment.

Clinical record means a tangible and legible record which meets the criteria established for clini- cal records set forth in rule 441—185.10(234).

Clinical record means a paper or electronic file that is main- tained by the provider and contains pertinent psychological, medical, and clinical information for each person served.

Clinical record means all parts of the record required to be maintained that are provided to an individual and includes all clinical records, assessments, financial and legal agreements and consents, progress notes, charts, admission and discharge data, clinical services, clinical summaries, individual therapy notes, group therapy notes, family therapy notes, and other information recorded by the facility staff, which pertains to the individual’s treatment.

Clinical record means all parts of the record