Questions tagged [medical-records]

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Is there a universal patient id to link individuals across clinical records and clinical studies?

For clinical record management, patients typically assigned an id within a medical center or a clinical study (often along with a national id). A bottleneck in leveraging patient information for large-...
emre's user avatar
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What information is a US healthcare provider required to provide access to under the 21st Century Cures Act?

In the United States, in response to the 21st Century Cures Act, the Department of Health and Human Services has developed regulations that prohibit "information blocking". This publication ...
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How do I stop my doctor from killing me? [closed]

In the international best-selling author, Dr Vernon Coleman's book 'how to stop your doctor killing you', he explains that the person most likely to kill you is not a burglar, a mugger, a deranged ...
Tyler's user avatar
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1 vote
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Clinical Notes database for research

My research is on extracting diagnoses from clinical notes/reports using Artificial Intelligence. I am strugling with finding good datasets that has big number of records I have MIMIC dataset but one ...
asmgx's user avatar
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1 answer
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Is electronic health record (EHR) in the US centralized or does each hospital/doctor have their own?

I read that the electronic health record (not electronic medical record) stores the complete history of a patient in the US. So, do all physicians use the same EHR system? (Like facebook i.e. there is ...
Ajay Nair's user avatar
2 votes
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114 views

Are there any verified cases of patients that stopped wearing prescription glasses due to a spontaneous remission of a visual impairment?

I would like to know if there are medically verified records of individuals prescribed with eyeglasses for years, who eventually experienced a spontaneous remission of their visual impairments, ...
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Have there been any medically verified records of individuals with parts of their bodies paralyzed for years that eventually got healed?

The title pretty much says it all and should be enough, but I'm honestly asking the question motivated by an alleged case of healing that went viral in 2010. The description of the case is presented ...
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1 vote
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Why is there no generally accepted system of disease classification?

I am reading Burket's Oral Medicine: Diagnosis and Treatment, Chapter 1 - Evaluation of the Dental Patient: Diagnosis and Medical Risk Assessment. Under the section 'Establishing The Diagnosis', the ...
Noeshel 's user avatar
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What is Spanish equivalent of webpage clinicaltrials.gov?

Can you recommend any Spanish database of medical studies/clinical records, equivalent to English clinicaltrials.gov ? Medical texts should be in Spanish, not webpage necessarily.
ludgo's user avatar
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1 answer
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Necessity of break-the-glass for accessing patient electronic health records in emergency [closed]

I wanted to find out if the break-the-glass method is really needed where an emergency physician would use it to access a patient's electronic health record in the event of an emergency. Since an ...
synthesis's user avatar
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Medical Record History

Example: In college, my records are essentially made such that I have to turn all past records in before applying to a new school. It has been 5+ years since I have met with a medical professional ...
William's user avatar
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5 votes
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How to Simplify Patient Visual Info for Doctors

Note: I am NOT asking for medical advice. Just wish to know effective way to communicate with Dr. I accompany my Dad to his Dr's appointments. He's 70-something years young, and has difficulty ...
Rhonda's user avatar
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4 votes
1 answer
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How often do ICD codes reflect the actual diagnosis in EHR?

Electronic health records (EHRs) often contains ICD codes used for billing purpose. Is there any study/survey that looked at how often ICD codes in EHRs reflect the actual diagnosis?
Franck Dernoncourt's user avatar
5 votes
1 answer
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Mental disorders are documented in the DSM, how are other medical conditions documented?

Is there an official database of medical illnesses/conditions? Is it publicly available? When a patient's information is entered in the medical record software, does the software cross-reference the ...
Michael Lewis's user avatar
2 votes
0 answers
31 views

In what format does your practice send patient records to individuals who request it in electronic format?

I am currently a student studying at The Massachusetts Institute of Technology looking to develop a new medium for patients to manage their health records. My biggest question for you all is in what ...
Phyllis Archaleta's user avatar
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Can a hospital bill me based on my name and date of birth? [closed]

If an out-of-state hospital has none of my information except for name and date of birth, can they bill me? I was hospitalized in NY for a night for excessive drinking, what can I expect or should I ...
rx19's user avatar
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Can unpaid/unlicensed college interns edit medical charts in California?

I recently took an unpaid internship at a pain management clinic who is asking me to edit SOAP notes and patients' charts. Is it legal for me to even touch this information without even having been ...
Leah's user avatar
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Are systemwide treatment statistics collected in any countries?

It would seem that constant universal aggregation of treatment data, including all diagnoses made (and how they were made) and all treatments used (drugs, amounts, therapies, even diet) would offer ...
JeopardyTempest's user avatar
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1 answer
59 views

UK - Doctor's access to family info

Situation: My NHS doctor asks me "Do you have any history of X in the family?" (X can be anything you like: cancer, insanity, arthritis, sarcasm etc, doesn't matter, I'm more interested in the ...
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9 votes
1 answer
131 views

How can I access my medical records in the United States?

I've had different insurance providers over the years and gone to different GPs, specialists, urgent care centers, and ERs in different cities. Is there one place I can go or one number I can call ...
Rag's user avatar
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2 votes
1 answer
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Who can release my medical records if I'm temporarily disabled?

Say I have a severe allergic reaction, or cardiac event, or poisoning, or any of a billion other conditions that would require urgent medical care, but might leave me unconscious or otherwise unable ...
TheEnvironmentalist's user avatar
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Are medical risks memoryless?

In determining your current health risk, does it matter what your past medical statistics were, or only your current medical statistics matter? Thought experiment 1 (TE1): If there are two twins A ...
pacpac42's user avatar
3 votes
0 answers
54 views

How do hospitals know who is family?

When a person is hospitalized, family members are legally allowed certain rights, especially if the hospitalized individual is unable to make his or her own medical decisions. But how does the ...
TheEnvironmentalist's user avatar
1 vote
0 answers
33 views

How do I opt out my details from Google-owned artificial intelligence?

Recently it was revealed that Google’s London-based company DeepMind artificial intelligence would be able to access the NHS records of 1.6 million patients who use three London hospitals. Supposedly ...
kenorb's user avatar
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1 vote
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Medical 837 claims linking mother to newborn

This question is specific to standard 837 medical claims forms. As far as I know, when coding for newborns, the newborn baby gets its own 837 claims form (and does not go on the mothers 837). I'm ...
Alex R.'s user avatar
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2 votes
0 answers
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Pediatric inpatient discharge best practices

Where can I find an open source collection of pediatric inpatient discharge best practices using the current Cerner EMR?
user426's user avatar
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12 votes
2 answers
7k views

How long should a person keep blood test results?

If someone has no chronic health problems (but a family history of diabetes and high blood pressure), is there a good medical reason for them to keep their old blood test results that doctors have ...
Dan Getz's user avatar
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