Questions tagged [medical-records]

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Why does a medical questionnaire need to know hair colour? [migrated]

The CAA (UK Civil Aviation Authority) application for a medical certificate asks for hair colour. Why? Are there any diseases / conditions more prevalent to particular colours? Most of the questions ...
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62 views

Are there records of patients ceasing to wear prescription glasses due to a spontaneous visual impairment remission?

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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118 views

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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34 views

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 ...
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42 views

How to access your doctor or surgeon's medical “track record” before a surgery or procedure

United States here, and New York state specifically (if it matters). Our five year old son needs to have an endoscopy performed with a local GI specialist. I understand its a simple procedure, but ...
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35 views

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.
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90 views

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 ...
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39 views

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 ...
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118 views

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 ...
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1answer
63 views

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?
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31 views

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 ...
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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 ...
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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 ...
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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 ...
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1answer
13 views

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 ...
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1answer
47 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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91 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 ...
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1answer
43 views

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 ...
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38 views

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 ...
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51 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 ...
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31 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 ...
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27 views

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 ...
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21 views

Pediatric inpatient discharge best practices

Where can I find an open source collection of pediatric inpatient discharge best practices using the current Cerner EMR?
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6k 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 ...