Medical Records
Thank you for visiting the Health Information Management Department online at StoneCrest Medical Center. We have listed some of the most commonly asked patient questions for your use.
What is a medical record?
A medical record is kept on each patient treated at StoneCrest Medical Center. It provides complete and accurate information on the patient’s treatment and care. The medical record serves as a communication tool among physicians and other caregivers in the combined effort to plan the course of treatment for the patient.
What information will be in my medical record?
Your medical record will contain information including: medical history, results of examinations, diagnosis, physician orders, and reports for laboratory, radiographic studies, consultations, clinical observations, medications ordered, and other pertinent information regarding your care and treatment. The medical record serves as evidence of the treatment and care you received while you were a patient at our facility.
Is my blood type in my medical record?
Your blood type may or may not be in your medical record. If the physician wrote an order for your blood to be typed while you were a patient at StoneCrest Medical Center, your blood type will be located in your medical record. Most of the time, blood is drawn for another reason, and is not typed. Therefore, every medical record does not have the patient’s blood type information.
Who owns my medical record?
Your medical record is owned by StoneCrest Medical Center. You have the right to see your information and decide how the information within the medical record may be distributed. This is monitored through the use of the Authorization for Release of Information that you can receive from our Health Information Management department.
How is my medical record protected?
The medical record is protected by law and state statutes. Your medical record cannot by released without your written consent.
Can I get a copy of my medical record?
You have the right to obtain or review your medical record at any time. There may be a charge for copies received. For medical record copies or for a Release of Information, please call 768-2819. Or, download the Authorization for Release of Protected Health Information (PHI) form.
Can other people or agencies request information from my medical record?
Yes. Records or information may be released under the following circumstances:
- Emergency Medical Treatment: In the event of a serious medical emergency, StoneCrest Medical Center will give other hospitals and providers information regarding your health history and medications that you may be taking.
- Reportable Diseases: There are state laws that require health care facilities to report communicable and sexually transmitted diseases to the Tennessee State Department of Health.
- Subpoena’s and Court Orders: If you are involved in a court case or litigation, many times your medical record or history is part of the “discovery” procedures of certain kinds of cases. If the Health Information Management department receives a valid subpoena or court order your medical records, they will be released.
What is an Authorization for Release of Information?
A release form is your authorization to copy your medical record and/or parts of your medical record. Unless allowed by Law, records are only released with a valid authorization. For medical record copies or for a Release of Information, please call 768-2819. Or,download the Authorization For Release of Protected Health Information (PHI) form.
If you have a specific question about your medical record, please contact the Health Information Managment Department at StoneCrest at 768-2800.
