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It provides a view of the resident's health history - In other words, it provides, a record of the resident's health status including observations, measurements, history and prognosis, and serves as the legal document describing the health care services provided to the patient.
Medical records serve as important evidence in many types of legal cases. Cases that use medical records as evidence include cases where there is an injury, disfigurement, or death.
You have the right to see or get a copy of these records whether they are kept on paper or are kept on a computer. Who has the right to keep my original medical record? Under North Carolina law, your health care provider is required to keep your original medical record. You have the right to see and get a copy of it.
To summarize, first, as to records: The records have to be authenticated by offering evidence that they were prepared by agents of the medical facility in the ordinary course of business at or near the time of the relevant act, condition or event contained in the records, and that the mode of preparation indicate the ...
First, the court may decline to allow records into evidence under Rule 803(6) if ?the source of information or the method or circumstances of preparation indicate lack of trustworthiness.? G.S. 8C-803(6); see State v. Miller, 80 N.C. App.