![]() ![]() Clinic notes − Include the initial assessment and the most recent visit documentation.Consultation report − The findings of a physician requested to examine a patient.Operative report(s) − The surgeon’s findings, technical procedures used, specimens removed and post-operative diagnosis.History and physical − The present illness or care needs and notes about any important history.Emergency record − The care, treatment and services provided for a visit to the emergency room.Discharge summary − The care, treatment and services provided as well as progress toward established goals of an inpatient stay.(This usually meets the need for individual use as well.) If you are requesting information for continuing patient care, the caregiver receiving the information usually wants only an overview of the important information. If you need help deciding what to request, a patient information coordinator will assist you. Requests for all information (progress notes, consent forms, registration sheets, etc.) can delay processing and become very costly. Requests to do so must be submitted using the “Authorization for Use/Disclosure of Protected Health Information” form located below in the "Download a Form" section. ![]() These include medical records of patients who have not been seen for care within the past 30 years.Ī patient or patient’s legal representative may request copies of the medical record prior to destruction. Authorization may be granted by completing an “ Authorization For Use and / or Disclosure of Protected Health Information” form.īeginning Monday, March 9, 2020, Cincinnati Children’s Hospital Medical Center will destroy medical records whose retention periods have expired. It is a legal requirement that Cincinnati Children’s receive specific authorization before releasing this information. ![]() The information contained in a patient’s medical record is confidential. The Health Information Management Department at Cincinnati Children’s Hospital Medical Center processes, stores and retrieves patient medical records. ![]()
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