intro to Health Records ch2

Question 1

The health record contains :

Answer 1

the data that will determine the patient’s care plan

Question 2

Health records contain information about the patient such as :

Answer 2

Previous illnesses and treatments
Current medical problems
History of family illnesses
Current medications

Question 3

Health records can be found in__________or___________

Answer 3

1-a paper chart
2-an electronic health record (EHR)

Question 4

Medical notes share a _______________________________________________________________

Answer 4

consistent, logical organization

Question 5

Property of the patient :

Answer 5

decides with whom the information is to be shared

Question 6

an acronym for the different types of information documented by health care providers
اختصار للأنواع المختلفة من المعلومات الموثقة من قبل مقدمي الرعاية الصحية

Answer 6

SOAP

Question 7

Medical records vary ________,__________

Answer 7

Length , content