Designated Record Set: which item is part of it?

• A. Any clinical data that has an impact on clinical decision making.
• B. Billing invoices only.
• C. Public health reports.
• D. Personal notes unrelated to care.

Answer: (A)

The designated record set is the collection of records that a covered entity uses to make decisions about an individual’s health care and related payment. This includes clinical data that directly informs treatment decisions, such as diagnoses, test results, treatment plans, and other information used to guide care. That’s why the option describing any clinical data that has an impact on clinical decision making best fits—the data here directly influences how a patient is treated. In contrast, billing invoices alone are only one administrative aspect, public health reports are external data not used to decide an individual’s care, and personal notes unrelated to care aren’t part of the designated record set.