Define the terms health record and health information.
What will be an ideal response?
A health record is an ordered set of documents, in the paper context, or a collection of data, in an electronic context, that contains a complete and accurate description of a patient's history, condition, diagnostic and therapeutic treatment, and the results of the treatment.
By contrast, health information refers to the meaningful data relating to the health of an individual that is created or received in any form or medium by a health care provider, health plan, public health authority, employer, life insurer, school or university, or health care clearinghouse.
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When possible, use _____________________________-_____________________________ decision making because of its many advantages
Fill in the blank(s) with correct word
You are with a patient who is complaining of chest pain that radiates into his arm and neck. He is alert and oriented and has an open airway and adequate breathing. His pulse is strong and his skin is cool and slightly diaphoretic. His pulse is 84, his respirations are 18, and his blood pressure is 90/62 mmHg. Responses to SAMPLE questioning include a history of a previous heart attack and
chronic lung disease; an allergy to aspirin; possession of nitroglycerin; and last ate about 6 hours ago. Based on this information, you would not: a. assist the patient to take a nitroglycerin tablet. b. place the patient on oxygen. c. let him assume a position of comfort. d. reassess his blood pressure in 5 minutes.
Code for the placement of amniotic membrane on the ocular surface without sutures
A) 65771 B) 65772 C) 65778 D) 65782
The ________ edge of the microscope slide is used for the labeling of patient information
Fill in the blank(s) with correct word