Non-Transitory Health Record
Any file, transcript, image or other record in any form/media that uniquely documents actual patient care, clinical decisions, actions taken, interventions or outcomes that must appear in the clinical or legal record of care for legislative, organizational, or professional reasons; or which have unique research or archival value to AHS or the healthcare provider.
Examples include: consultation requests, answers to clinical questions, digital photographs of clinical findings (not elsewhere recorded), clinical evidence attached to referral requests, case conference transcripts (including telehealth and telephone), refill requests and orders, etc.
Related Concepts
Synonyms: Computerized Health Record, Digital Health Record, Medical Record, Medical Chart
Canadian Convention: Digital Health Records
Terminology: MeSH