Thread: unfair dx's
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Old Jun 05, 2006, 09:08 AM
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jennie jennie is offline
Poohbah
 
Member Since: Dec 2002
Location: DC metro area
Posts: 1,366
Patient medical records serve as legal documents. They are the property of the healthcare facility, "not yours." Medical records serve as a financial reimbursement for the facility treating you.
Also . . .
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It serves to correlate, for all involved, important patient information regarding the treatment rendered and the patient's treatment plan, and is the means by which a level of communication is achieved among all health care providers involved in the patient's care. (source: link

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I do not know the reasoning why that doc added psych diagnoses to your medical record. Will the hospital receive more money for their claim on you with more diagnoses being coded? I don't know. Is the doc trying to feel more knowledgeable in medicine by documenting psych diagnoses but probably isn't board certified in psychiatry? I don't know.

I do know that there is stigma involved with a label of a personality disorder. Docs are supposed to "do no harm."

Please get an addendum to your medical record correcting this unfair dx. I think that doc should apologize to you, too.

Hopefully this misdiagnosis (if it is one) is not charted electronically. Electronic medical records are very vulnerable to privacy breaches.

JCAHO requires medical record documentation to be accurate. They also monitor the quality of care of accredited institutions. You can check to see if you hospital is accredited and file a report (linked in my earlier post) stating your concerns (if the hospital does not resolve the issue first). JCAHO search link