Orange County NC Website
17 <br /> Information Flow Assessment Questionnaire <br /> D. INFORMATION TRANSMISSION <br /> Identify all methods of transmission utilized by your workgroup for sending and receiving health information by checking <br /> the appropnate,boxes. For each method selected,indicate with a cheek mark(,)if you retain a copy of the information in <br /> the Ratak Copy column. <br /> Transmission Method Send Receive Retai e <br /> Electronic <br /> Electronic Transaction via FTP <br /> E-mail <br /> Floppy Disk/CD/M netic Tape <br /> LANANAN network <br /> Modem <br /> OCR scanned <br /> Software ApplicaWntSystern <br /> Web Site <br /> Paper <br /> Courier/Fed ExA PSIAirborna/Eme /others <br /> Envelo older,Sealed <br /> rmnvelopeffiolder,Unseated <br /> FAX Machine <br /> Hand Delivery(person to person) <br /> LogslJournals <br /> Mail,Interoffice <br /> Mail,US Postal <br /> Medical Record File <br /> Voice[Visual <br /> Face to Face <br /> Pager <br /> Phone,CelUSatellfte <br /> Phone, Land Line <br /> Photographs <br /> SecuntX Camerafrapes <br /> Tape Reel to Reel,Cartridge) <br /> Video Tapes <br /> Web Cam <br /> Other S <br /> tdentry all methods of recording heamh hnormaton received verbally by your workgroup.Check all that apply. <br /> Check <br /> Recording Method <br /> Dictate to Machine,Computer,Person <br /> Enter in PC <br /> Message/Memo <br /> Note in /Journals <br /> Informal Staff Notes <br /> Medical Record Form - <br /> Scratch Pad/Post-ft Note - <br /> Cassette Ta CD <br /> Message Center <br /> Voice Mail <br /> Other S 'f <br /> duty 211011•Versian 4 HIPAA 13 <br />