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What Do General Medical Records Consist Of?

Posted on Thu, 24 Nov 2016

Question: An, In general records question, if someone writes requesting their medical records, would the patient"s records received contain the reports of X-ray, CAT scan, MRI and/or other diagnostic reports? Would this be considered standard protocol or practice and guideline for what is to be contained in a basic contents of requested records as far as test reports included?

Answered by Dr. Chobufo Ditah (1 hour later)

Brief Answer:
You can precise this to make sure....

Detailed Answer:
Hi,

The report would integrate all these components mostly in a summarized version if not specified in the request. However, if you want the full reports and want them detailed, you may precise to the doctor that you want a complete report including all laboratory investigations and interpretations. This way, nothing would be missed.

Keep me posted on how this turns out. I wish you well.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chobufo Ditah (11 hours later)

So would someone who is a stage 4 cancer chemotherapy and radiation survivur survivor who requested their medical records, due to patient's Cancer history any diagnostic test or scan reports should be included with the records

Answered by Dr. Chobufo Ditah (17 hours later)

Brief Answer:
Yes!

Detailed Answer:
Hi,

They should be included and cannot be voluntarily excluded. Even if you were to request that it shouldn't be included, that might be much impossible.

Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chobufo Ditah (35 hours later)

I Believe I am understanding, these diagnostic records such as any test or imaging scan reports such as CAT Scan reports should automatically be included when a request is made for a Cancer patients records. Can you tell me what makes this so in the United Sates? Would it be HIPAAA or the patients rights laws passed in 1996? If you are unfamiliar with these, could you point me in the right direction as to where I might look to find what governs these things. I apologize if I am being burdensome.

Answered by Dr. Chobufo Ditah (32 hours later)

Brief Answer:
I don't know the specific laws text.

Detailed Answer:
Hi,

please i don't know the exact laws governing them. I am sorry for this. we only get to apply them in our practices but not the laws. maybe a lawyer might help you with this.

I wish you well.

Above answer was peer-reviewed by : Dr. Nagamani Ng