Kevin or anyone that would like to respond,
Is this what you were referring to?
Documents Not Included in the Legal Health Record
Administrative Data and Documents
Administrative data and documents should be provided the same level of confidentiality as the legal health record. However, administrative data should not be considered part of the legal health record and would not be produced in response to a subpoena for the medical record. Healthcare organizations might more appropriately consider some administrative data and documents as working documents.
Administrative data are patient-identifiable data used for administrative, regulatory, healthcare operation, and payment (financial) purposes. Examples of administrative data include:
Abbreviation and do-not-use abbreviation lists
Audit trails related to the EHR
Authorization forms for release of information
Birth and death certificate worksheets
Correspondence concerning requests for records
Databases containing patient information
Event history and audit trails
Financial and insurance forms
Incident or patient safety reports
Indices (disease, operation, death)
Institutional review board lists
Notice of privacy practices acknowledgments (unless the organization chooses to classify them as part of the health record)
Patient-identifiable data reviewed for quality assurance or utilization management
Protocols and clinical pathways, practice guidelines, and other knowledge sources that do not imbed patient data
Staff roles and access rights
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