MAP 150 Assessment 1 | 65 Questions and Answers
What kind of patient data was Medical care, billing information, scheduling information, registration
historically documented with information
paper records?
Why are paper records less Paper records can be misfiled, information is difficult to
efficient than electronic health share, handwritten notes have to be interpreted, only one
records? person at a time can view paper records
With regards to medical Editing, storing, creating, organizing
records, what functions can be
carried out with electronic
health records?
What is the definition of an An electronic record that contains more information than a
electronic health record? traditional paper record and that also has the ability to be
shared among healthcare organizations
Type of source-oriented record? Organized into sections based on the department, facility, or laboratory
By what date is the source- Date
oriented record organized?
Type of problem-oriented Organized according to the patient's health problems
record?
, Which stages are used when Establishing a database. compiling a problem list, devising a
developing a problem- plan of action for each problem, following each problem
oriented record? with progress notes
Which data are subjective Personal demographics, patient's chief complaint, past
contents of the health record? health, family, and social history
Which data are objective Diagnosis, treatment prescribed and progress notes, vital
contents of the health record? signs and anthropometric measurements, condition at the
time of termination of treatment
What process is the definition of Writing entries about a patient in the medical record by
documenting? medical office personnel directly involved with the health
care of the patient
spell correctly, never erase or obliterate an entry, document
Which general guidelines are
information accurately, in a logical order, using clear and
appropriate for documenting
concise phrases, check the name and DOB on the EMR or
in the health record?
paper chart before making an entry to ensure you have
the correct record
What kind of patient data was Medical care, billing information, scheduling information, registration
historically documented with information
paper records?
Why are paper records less Paper records can be misfiled, information is difficult to
efficient than electronic health share, handwritten notes have to be interpreted, only one
records? person at a time can view paper records
With regards to medical Editing, storing, creating, organizing
records, what functions can be
carried out with electronic
health records?
What is the definition of an An electronic record that contains more information than a
electronic health record? traditional paper record and that also has the ability to be
shared among healthcare organizations
Type of source-oriented record? Organized into sections based on the department, facility, or laboratory
By what date is the source- Date
oriented record organized?
Type of problem-oriented Organized according to the patient's health problems
record?
, Which stages are used when Establishing a database. compiling a problem list, devising a
developing a problem- plan of action for each problem, following each problem
oriented record? with progress notes
Which data are subjective Personal demographics, patient's chief complaint, past
contents of the health record? health, family, and social history
Which data are objective Diagnosis, treatment prescribed and progress notes, vital
contents of the health record? signs and anthropometric measurements, condition at the
time of termination of treatment
What process is the definition of Writing entries about a patient in the medical record by
documenting? medical office personnel directly involved with the health
care of the patient
spell correctly, never erase or obliterate an entry, document
Which general guidelines are
information accurately, in a logical order, using clear and
appropriate for documenting
concise phrases, check the name and DOB on the EMR or
in the health record?
paper chart before making an entry to ensure you have
the correct record
