Among the most functional elements of the EHR is health information and data, which centers on the patient and is found in a defined
A. Data Set.
B. Clinical Decision Support System.
C. Order Entry and Management System.
D. Health Information System.
Answer: A
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For each of the partial physician notes below, determine if the situation warrants a workers' compensation claim versus a claim to the patient's insurance provider. Indicate the correct choice and write a justification for your answer
Physician Note S: 56-year-old female mail carrier came to the office today for a sore knee. Patient states she slipped on the ice while working yesterday and hit her knee. Reports aching pain to right knee that hurts most when she is walking. O: Patient knee is swollen and bruised, consistent with falling and hitting it. ROM is full with tenderness, but not consistent with ligament damage. Patient has temperature of 102F; all other vital signs are WNL. A: Bruised knee, doesn't appear to have torn ligaments; rule out fracture. P: X-Ray and then refer to PT for consult if no fracture, CBC to check for possible infection due to fever. ______Bill workers' compensation insurance ______Bill healthcare insurance ______Bill both for separate issues Justification: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
An alert and oriented young male fell 5 feet from a stage, impacting a metal railing with the right side of his chest, just under his armpit. The primary assessment is negative for life threats, although he does complain of very painful breathing and has remarkable tenderness and crepitus over the 5th rib laterally in this area. Throughout care, what action is essential to perform?
A) Apply ice to area. B) Administer aspirin for pain. C) Monitor breath sounds. D) Splint site with a bulky dressing.
The most common form of bone disease is:
A) osteoporosis. B) osteomyelitis. C) rheumatoid arthritis. D) osteoarthritis.
Which of the following items in the Case dialog box can not be changed?
A. Case number B. Description C. Guarantor D. All of these are correct.