Telemedical record documentation: a preliminary survey.
Telemedical records are the weak link in telemedicine. With a number of medicolegal and reimbursement issues still unresolved, telemedical record documentation will be a critical piece of the puzzle when the patient's original legal medical record must be produced. A questionnaire was distributed to active telemedicine programmes in the USA to determine how interactive teleconsultations were being documented. Forty programmes completed the questionnaire. The responses indicated a lack of consistency and a need for documentation guidelines for telemedical records.
Huston
J L
JL
D004282:Documentation; D005568:Forms and Records Control; D006801:Humans; D008499:Medical Records / Q000592:standards*; D017216:Telemedicine / Q000458:organization & administration*; D014481:United States