Medical Records Answers

Medical records are filled with confidential and identifying information. Which of the following would be found in a medical record?

Ella has been taken to the emergency room for treatment of a dog bite to the face. During the course of treatment, Ella’s wound is stitched, and then she is sent home with a prescription and orders to follow up with her primary care physician. What information from this visit will be placed in her medical record?

Dr. Smith’s office is considering moving from paper medical records to electronic medical records. What are some of the concerns they are most likely to have about EMRs? Check all of the boxes that apply.

Medical records are complex files that need to be filed appropriately. Medical records are filed ✔ differentlyX the same in all medical offices, and it is important to follow the appropriate procedures.As a healthcare professional, you may be responsible for billing out and filing✔ adding to and filing medical records on a daily basis. You need to follow the procedures and regulations set forth within the facility for this. One major consideration is the ✔ legal financial issues that impact medical records. Records can be accessed by everyone✔ individual patients and only ✔ copiesoriginals can leave the office.

Medical records are sometimes used outside of patient appointments. Which of the following are other examples of times when medical records are likely to be accessed? Check all of the boxes that apply.

A thirty-five-year-old female is injured in a traffic accident. Her medical records may be used in a court of law to

A fifty-year-old man who is a victim in an automobile accident has been rushed to the emergency room. A reporter calls and asks a vague question about “the man in the accident.” Which of the following may the hospital do?

A sixteen-year-old boy, Elliot Aran, is involved in a bike accident. He is rushed to the hospital where he is listed in critical condition. The boy’s parents have given consent to release his status to any callers. When a local news station calls and asks the status of Elliot Aran, the hospital is permitted to

Medical records and charts are both used in the healthcare field, but they contain different information. Use the drop-down menu to determine which patient record is being described.A medical ✔ chartX record is a summary of the patient’s current medical condition over a short time period. A medical chart✔ record serves as a complete history of the patient’s health over a lifetime. When admitted to the hospital, a patient’s time at the healthcare facility is recorded in a medical ✔ chartrecord.Two parts, general and clinical, make up a patient’s medical chart✔ record.

Which of the following laws allows patients access to their medical records?

Use the drop-down tool to decide whether the advantage or disadvantage given applies to paper or electronic medical records.high potential for breach of privacy paper ✔ electronicpoor handwriting ✔ paperelectronicimproved care coordination paper✔ electronicfamiliar format ✔ paperelectronicimproved accuracy of diagnosis paper✔ electronic