HIPAA and SOAP note

American law known as HIPAA establishes standards for data security and privacy that are used to protect medical information. In August 1966, Bill Clinton signed the HIPAA Act into law after it had been approved by the Congress. There are five titles in the Act. If a person leaves or changes jobs, Title I offers health insurance coverage. The development of national standards for the processing of electronic transactions is guided by Title II in the United States Department of Health and Human Services. Guidelines for taxes and medical care are provided in Title III. Title IV defines health insurance reform as well as providing provisions for individuals seeking continued coverage and those with pre-existing conditions. Title V are provisions to company-owned life insurance and how income tax for those who lose their US citizenship is treated.

Explain the medical record. What is the purpose of the medical record?

A medical record is a document which provides information on medical history and healthcare services of an individual patient. The document is usually given under the direction of a healthcare giver like a nurse, physician. A medical record is important because it provides a health care giver with the history of patients which enables him/her understand the previous treatment. The record also helps the medical professionals understand how the current diagnosis and how it will be. Understanding the previous treatments and the current diagnosis helps the caregivers develop a treatment plan.

Describe a SOAP note.

A SOAP note is a standard documentation method used by the caregivers to put patient’s information in a chart. This is usually accompanied by notes such as admission notes, medical history among other documents. The note has four parts which are subjective, objective, assessment and plan.

What is a body system?

A body system is a functional unit of a group of body structures to perform some body functions. The systems include; digestive system, circulatory system, reproductive system, limbic system, nervous system, endocrine system and respiratory system.

What does prophylactic use of drugs mean?

Prophylactic use of drugs means the use of drugs to prevent a disease from occurring or an unwanted consequence. For instance, the reproductive pills for female to prevent unwanted pregnancy.

6. What are main functions of bones?

Supporting the skeletal system and provide body posture

Storing lipids and minerals

Supports body movements and provide body stability

The bone marrow contained in the bones produce red blood cells, white blood cells and platelets through the stem cells.

7. What are main functions of muscles?

Enhancing movement due to their ability to contract

Maintaining body posture and position

Joint stability

Heat production

8. What are the 3 types of joints?

Fibrous joints

Cartilaginous joints

synovial joints

9. What are the regions of the vertebral column?

Cervical region

Thoracic region

Lumbar region

Sacrum

Coccyx

10. What are three basic types of muscles?

Cardiac muscles

Visceral muscles

Skeletal muscles