Generation & Management of Patient’s Records

Health Information records are vital to the provision of quality health care. It is in this regard that the Health Professions Council of Zambia (HPCZ) has developed guidelines to guide the practice of acquiring, analysing, and protecting both digital and traditional-paper-based-medical information. HPCZ encourages Health facilities to embrace Information and Communications Technology (ICT) in the management of patient records in line with the National ICT Policy that was launched in 2007 by the Government of the Republic of Zambia.

 

These guidelines are applicable to practitioners in both public and private health facilities. They define the framework to be used to manage health information, and the exchange of health information in any format.
It is worth noting that patient interactions with health care workers generates volumes of health data that is documented. A question however arises as to ‘who owns the patient record?’. It is therefore expected that these guidelines have clarified this long standing contentious question.

 

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• Generation & Management of Patient’s Records