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How to Protect Past Medical History Form

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In this video, Carla from Clinical Physio discusses essential questions to consider during a subjective examination about past medical history, drug history, and social history. She introduces the acronym "hashtag thread Sox" to help remember key elements of the past medical history. Each letter stands for the following: "#" for fractures, "T" for thyroid conditions, "H" for heart conditions, "R" for rheumatoid conditions, "I" for epilepsy, "A" for asthma and other respiratory pathologies, "D" for diabetes, "S" for previous steroid use, "O" for osteoporosis, "C" for personal or family history of cancer, and "S" for history of surgery.

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What is included with PHI?

PHI is anything that can be used to identify an individual such as private information, facial images, fingerprints, and voiceprints. These can be associated with medical records, biological specimens, biometrics, data sets, as well as direct identifiers of the research subjects in clinical trials.

Can I refuse access to my medical records?

You have the right to refuse/withdraw consent to information sharing at any time. You need to be specific as to what information you do not wish to share with, for example, your GP or third party organisations etc. The possible consequences will be fully explained to you and could include delays in receiving care.

Why would medical records be locked?

The purpose of the restriction, often referred to as S-flagging a patient record, is to ensure that patient location information such as the patients address or landline phone number is protected from viewing by healthcare professionals.

What is PHI and what is not?

What is PHI? Protected health information (PHI) is any information in the medical record or designated record set that can be used to identify an individual and that was created, used, or disclosed in the course of providing a health care service such as diagnosis or treatment.

Which of the following would not be considered an example of PHI?

Examples of health data that is not considered PHI: Number of steps in a pedometer. Number of calories burned. Blood sugar readings w/out personally identifiable user information (PII) (such as an account or user name)

Does PHI include past medical history?

PHI is health information in any form, including physical records, electronic records, or spoken information. Therefore, PHI includes health records, health histories, lab test results, and medical bills. Essentially, all health information is considered PHI when it includes individual identifiers.

What is the best way to protect medical records?

Medical Records and PHI should be stored out of sight of unauthorized individuals, and should be locked in a cabinet, room or building when not supervised or in use. Provide physical access control for offices/labs/classrooms through the following: Locked file cabinets, desks, closets or offices.

How do I stop my medical records being shared?

Opting out of sharing your data To do this you need to fill in an opt-out form and return it to your GP surgery. Download a Type 1 Opt-out form. Only your GP surgery can process your opt-out form. They will be able to tell you if, and when, you have been opted out.

Can you lock your medical records?

A patients rights under HIPAA include the right to restrict the use and disclosure of medical records. While it may have been easier to manage restrictions in a paper record world, the advent of EHRs sometimes make it more difficult for restrictions to be executed.

What do you put on a medical history form?

What information should be included on a medical history form? Medications you are currently taking or have recently stopped taking. Allergies (food, medication, environmental, products, etc.) Previous injuries. Recent illnesses. Past hospitalizations (reason, dates, duration, treatment)

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