medical record (Florida)

In specifying health privacy requirements, Florida statutes generally target the "medical record" or "patient record" as the object of protection. There is no precise definition offered, similar to the HIPAA concept of protected health information (PHI), for what is embraced by these terms.

The statutory chapter regulating practitioners and non-hospital facilities defines it as information generated from "a physical or mental examination ... or administering treatment or dispensing [drugs]." (FL Stat 456.057)

The chapter regulating hospitals and ambulatory surgical facilities defines it as including the following elements: "[B]asic client data collection; a listing of the patient's problems; the initial plan with diagnostic and therapeutic orders as appropriate for each problem identified; and progress notes, including a discharge summary." It is further defined to include "X rays and insurance information." (395.3015, 3025)

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