| A | B |
|---|
| consent | permission from a patient, expressed or implied, for something to be done by another |
| Doctrine of Informed Consent | legal basis for informed consent, usually outlined in State Medical Practice Acts |
| Good Samaritan Act | state law protecting MDs and other HCWs and laypersons from charges of negligence or abandonment if they stop to help accident victims or other emergency victims |
| medical record | collection of data recorded when a patient seeks medical treatment |
| Doctrine of Professional Discretion | principle under which an MD can exercise judgment whether to show patients being treated for mental or emotional conditions their records |
| fiduciary duty | MD's obligation to his/her patient, based on trust and confidence |
| Confidentiality of Alcohol&Drug Abuse, Patient Records | federal statute protecting patients with histories of substance abuse regarding the release of information about treatment |
| health information technology | hardware and software applications that deal with sharing, storing, retreiving and using HC information |
| five Cs of documentation | Concise. Clear. Complete. Correct. Chronological. |
| emancipated minor | individual in mid-late teens who legally lives outside of his/hers parents'/guardians' control |
| mentally incompetent | individuals judged by the court to be insane, senile, mentally challenged or under the influence |
| privileged communication | information held confidential within a protected relationship |
| invasion of privacy | intentional prying or intruding into another's private aspects of life |
| defamation (of character) | intentional false or defamatory statement about another that results in personal or financial damages |
| slander | defamation by verbal statement |
| libel | defamation by written statement |
| standard | a general requirement |
| PHI | protected health information = all identifiers of an individual |
| incidental disclosure | unpreventable disclosure dispite all considerations to prevent |
| DOJ | Department of Justice - enforces HIPAA |
