No. It includes the clinical record but is greatly expanded beyond the clinical record. A designated record set is any group of records containing protected health information that may be used to make decisions about individual residents or their treatment. Under the Privacy Rule, designated record sets would include:
o Mental health records maintained by the residential program or a business associate of the residential program;
o Case records maintained by the residential program or a business associate of the residential program;
o Billing records maintained by the residential program or a business associate of the residential program;
o Any enrollment, payment, claims adjudication, and case or medical management records maintained for a health plan or insurer by the residential program or a business associate of the residential program; and
o Any other group of records maintained by the residential program or business associate to make decisions about individual residents.