TY - CHAP M1 - Book, Section TI - Legal Aspects of the Health Record A1 - Smith, Jody A2 - Kettenbach, Ginge A2 - Schlomer, Sarah L. A2 - FitzGerald, Jill PY - 2016 T2 - Writing Patient/Client Notes AB - The health record is a legal document that is admissible as evidence in a court of law. As a healthcare professional, you will examine the patient to collect health information during their course of care.1 It is your responsibility as the overseeing healthcare professional to keep health information accurate, timely, relevant, secure, and confidential. SN - PB - F. A. Davis Company CY - New York, NY Y2 - 2024/03/28 UR - fadavispt.mhmedical.com/content.aspx?aid=1180746757 ER -