I believe the patient can REQUEST any information in the DRS be changed,
regardless of date. (You may be thinking of the accounting of disclosure,
which does have a pre 4/15/03 exception.)

However, you are NOT OBLIGATED to accept an amendment.   If you cannot
corroborate it, I would deny it and then invoke her other rights, namely
that she can have her amendment request and documentation sent any time that
Nurses Note is sent.  Either way, her views are part of her DRS.

If it is a really messy situation, discuss with your risk manager.

Judith

Judith Bentz-Miller
Privacy Officer
Arnett Clinic
765-448-8843

-----Original Message-----
From: Lisa Cavitt/SIH [mailto:[EMAIL PROTECTED]
Sent: Monday, November 10, 2003 10:04 AM
To: WEDI SNIP Privacy Workgroup List
Cc: Marcia Matthias/SIH
Subject: Re:Amendment to DRS



I have a question on the right to amend the patients designated record set.
If a patient makes a request post 4/15/03 to have an amendment made to
information from 2002, Are we obligated to make that amendment?

In this case, the request is not to correct incorrect information, but to
add information to Nurses Notes.  Per the patient's request, they had given
some information to the nurse which was not documented.  I would think that
if this was a question of incorrect information (note said left leg was
broken, but x-rays and other information showed the right leg broke) there
would not be a question about making the change. There is no way to
corroborate what the patient is requesting.

Thanks!
Lisa R. Cavitt
Southern Illinois Healthcare
618-457-5200 x 67223




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The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions 
on this listserv therefore represent the views of the individual participants, and do 
not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If 
you wish to receive an official opinion, post your question to the WEDI SNIP Issues 
Database at http://snip.wedi.org/tracking/.   These listservs should not be used for 
commercial marketing purposes or discussion of specific vendor products and services.  
They also are not intended to be used as a forum for personal disagreements or 
unprofessional communication at any time.

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