What is a health record what is it used for quizlet?
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What is a health record what is it used for quizlet?
The principal repository (storage place) for data and information about the health care services provided to an individual patient. It documents the who, what, when, where, why and how of patient care. You just studied 78 terms!
Which are included in medical records quizlet?
Information contained in the medical records is? Health History, Results of the Physical Examination, Lab Reports, Progress Notes.
Which is an example of clinical use of a health record quizlet?
The clinical uses of a health record are direct patient care, method of cross discipline education, public health monitoring, and legal document of care. Establishing whether the applicable standard of care was met. You just studied 41 terms!
What is a personal health record quizlet?
A personal health record (PHR) is an electronic application used by patients to maintain and manage their health information in a private, secure, and confidential environment.
What is the purpose of a health record?
The health record is the principal repository (storage place) for data and information about the healthcare services provided to an individual patient. It documents the who, what, when, where, why, and how of patient care.
Which of the following is a primary purpose of the health record?
The primary purpose of the patient record is to provide continuity of care, which means documenting services so others have a source upon which to base care.
What is the health record type?
There are three types of medical records commonly used by patients and doctors: Personal health record (PHR) Electronic medical record (EMR) Electronic health record (EHR)
What belongs in a medical record?
Medical records are the document that explains all detail about the patient’s history, clinical findings, diagnostic test results, pre and postoperative care, patient’s progress and medication. If written correctly, notes will support the doctor about the correctness of treatment.
Which of the following are both primary uses of the health record?
No matter what term is used, however, the primary function of the health record is: To document and support patient care services.
What are three personal health records?
personal health record (PHR)
- Information about visits to healthcare professionals.
- Allergies.
- Family history.
- Immunizations.
- Information about any conditions or diseases.
- A list of medications taken.
- Records of hospitalization.
- Information about any surgeries or procedures performed.
What is in a health record?
A health record (also known as a medical record) is a written account of a person’s health history. It includes medications, treatments, tests, immunizations, and notes from visits to a health care provider.
What is the meaning of health record?
A health record is a confidential compilation of pertinent facts of an individual’s health history, including all past and present medical conditions, illnesses and treatments, with emphasis on the specific events affecting the patient during the current episode of care.
What are the content of health records?
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 are health records used for?
Medical records are used to track events and transactions between patients and health care providers. They offer information on diagnoses, procedures, lab tests, and other services. Medical records help us measure and analyze trends in health care use, patient characteristics, and quality of care.
What are the three main types of Health Records?
There are three types of medical records commonly used by patients and doctors:
- Personal health record (PHR)
- Electronic medical record (EMR)
- Electronic health record (EHR)
What is the purpose of Health Records?
The primary purpose of a medical record is to provide a complete and accurate description of the patient’s medical history. This includes medical conditions, diagnoses, the care and treatment you provide, and results of such treatments.
What are the content of Health Records?
What is the meaning of Health Records?
