The legal discipline of medical record <b>[Abstract in English]</b>

Authors

  • Leonardo da Silva Fabbro PUCRS

Keywords:

MEDICAL RECORDS, MEDICAL RECORDS SYSTEMS, COMPUTERIZED, LEGISLATION, MEDICAL, LEGISLATION AS TOPIC.

Abstract

Questions surrounding the issue of medical records are always of great interest and importance. It is in this spirit that Scientia Medica is publishing an article on electronic patient record, a reality that, sooner or later, all institutions providing health care will have to adapt. It is true that many difficulties must be overcome before implementing, with absolute safety, the records in electronic media. Among other issues to be addressed are the legal issues. It is essential for medical and law professionals knowing the legal guidelines on the subject, allowing the construction of valid medical documents, both in electronic or traditional media, for patient care and also as a means of defense. The Federal Council of Medicine has been supplying various legislative absences with their resolutions. However, formal legislation on some issues relating to medical records, including those related to digital or computerized records, would confer the necessary legal safety for this process to walk much more advanced.

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Author Biography

Leonardo da Silva Fabbro, PUCRS

Pleonor Gastal Lago obteve graduação em Medicina (1972) e realizou residência médica em Pediatria (1974) pela Universidade Federal do Rio Grande do Sul. Concluiu mestrado (2000) e doutorado (2006) em Pediatria pela Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS). Tem especialização e experiência em Pediatria, com ênfase em Neonatologia. Atualmente é professora adjunta da Faculdade de Medicina da PUC-RS, atua no Alojamento Conjunto do Hospital São Lucas da PUC-RS e coordena o Ambulatório de Infecções Congênitas na mesma instituição. Participa do Brasil-Europe Multicentre Study on Congenital Toxoplasmosis. É editora do periódico científico "Scientia Medica" e revisora "ad hoc" dos periódicos "American Journal of Obstetrics and Gynecology" e "The Pediatric Infectious Diseases Journal". Em seu currículo Lattes os termos mais freqüentes na contextualização da produção científica são: Infecções congênitas, Toxoplasmose congênita, Congenital toxoplasmosis, Sífilis congênita, Congenital syphilis e Recém-nascido.

Published

2011-09-23

How to Cite

Fabbro, L. da S. (2011). The legal discipline of medical record <b>[Abstract in English]</b>. Scientia Medica, 21(3), 94–95. Retrieved from https://revistaseletronicas.pucrs.br/index.php/scientiamedica/article/view/9702

Issue

Section

Editorial