What type of information may be recorded in a patients medical record quizlet?

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What type of information may be recorded in a patient's medical record?
What information is contained in the medical record quizlet?
What should be documented in a medical record?
What are the 5 components of a medical record?

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engineering

Find all prime implicants and all minimum sum-of-products expressions for each of the following functions. (a) $f(A, B, C, D)=\Sigma m(4,11,12,13,14)+\Sigma d(5,6,7,8,9,10)$ (b) $f(A, B, C, D)=\Sigma m(3,11,12,13,14)+\Sigma d(5,6,7,8,9,10)$ (c) $f(A, B, C, D)=\Sigma m(1,2,4,13,14)+\Sigma d(5,6,7,8,9,10)$ (d) $f(A, B, C, D)=\Sigma m(4,15)+\Sigma d(5,6,7,8,9,10)$ (e) $f(A, B, C, D)=\Sigma m(3,4,11,15)+\Sigma d(5,6,7,8,9,10)$ (f) $f(A, B, C, D)=\Sigma m(4)+\Sigma d(5,6,7,8,9,10,11,12,13,14)$ (g) $f(A, B, C, D)=\Sigma m(4,15)+\Sigma d(0,1,2,5,6,7,8,9,10)$

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engineering

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subjective, objective, assessment, plan - an approach to documentation, which provides an orderly series of steps for dealing with any medical case. ** Record documented in the following order:

S: Subjective data comes from the pt; the pt describes his / her signs and symptoms and supplies any other opinions or comments about the current problem.
O: Objective data come from the physician, examinations and test results.
A: Assessment is the diagnosis or impression of a pt's problem.
P: Plan of action, includes treatment options, chosen treatment, medications, tests, consultations, pt education and follow-up.

What type of information may be recorded in a patient's medical record?

It includes informationally typically found in paper charts as well as vital signs, diagnoses, medical history, immunization dates, progress notes, lab data, imaging reports, and allergies. Other information such as demographics and insurance information may also be contained within these records.

What information is contained in the medical record quizlet?

Information contained in the medical records is? Health History, Results of the Physical Examination, Lab Reports, Progress Notes.

What should be documented in a medical record?

They should include: 1) All relevant clinical findings. 2) A record of the decisions made and actions agreed as well as the identity of who made the decisions and agreed the actions. 3) A record of the information given to patients. 4) A record of any drugs prescribed or other investigations or treatments performed.