HI135M5.docx HI135 Compliance for the Facility HI135 Regulations for Protected Health

HI135M5.docx    HI135  Compliance for the Facility  HI135 Regulations for Protected Health Information  Purdue University Global  Compliance for the Facility Good morning, I have the information that you requested about your fathers medical health record. Step in let us find a private area so that I can go over the information with you so that you have a better understanding of what you are looking at. First is the chief complaint which is where your father told us what was wrong with him at the time of admittance and any present illness and past medical history. He was then asked about his work history and personal  information such as address, marital status , and family history before any treatment was started in case of any serious family medical history. After a physical examination was performed on your father , which then leads us to  physicians orders which are created so that anyone who attends to your father will know his diagnosis. In the physician order, you will see all your fathers treatments, lab work, medications , procedures performed and  signatures on all orders.               Now I am going to explain your fathers progress while in the ICU, which is called progress notes. The progress notes have all the information from the types of treatment to his response to the treatments.  Everyone who has treated or seen your father documents their findings in the progress notes and each physician / nurse signs and dates once finished with your father. We have sent out some consul