Matching (20) Match items in column A to column B

Column a Column b
1.
A.
Which part of a medical history documents the nature and duration of the symptoms that caused a patient to seek medical attention as stated in that patient’s own words?
2.
B.
Which of the following creates a chronological report of the patient’s condition and response to treatment during a hospital stay?
3.
C.
Which of the following is not a function of the discharge summary?
4.
D.
Which of the following is a function of the health record?
5.
E.
Which health record format is most commonly used by healthcare settings as they transition to electronic records?
6.
F.
Which of the following clinical data elements is not usually documented in the acute care health record?
7.
G.
Which of the following specialized patient assessment tools must be used by Medicare-certified home care providers?
8.
H.
Which of the following types of facility is not governed by Medicare long-term care documentation standards?
9.
I.
Which of the following factors should be considered when designing a data retrieval system for an EHR?
10.
J.
Which of the following is not a traditional health record format?
11.
K.
Which of the following is an example of an advance directive?
a. a living will
12.
L.
Which of the following statements is not true of the process that should be followed in making corrections in paper-based health record entries?
13.
M.
Which of the following would not be considered clinical data?
a. progress notes
14.
N.
Which of the following is not an example of a data capture technology?
15.
O.
Which regulations are most commonly applied in end stage renal disease treatment?
16.
P.
Which of the following materials is not documented in an emergency care record?
17.
Q.
Chapter 3
18.
R.
In which of the following ways can the patient’s consent to undergo treatment be expressed?
a. by his or her submission to treatment
19.
S.
Which of the following includes names of the surgeon and assistants, date, duration and description of the procedure and any specimens removed?
20.
T.
What is the end result of a review process that shows voluntary compliance with guidelines of an external, nonprofit organization?