What is described by an Operative Report?
Answer: Surgical Procedure
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Medical Records
- All patient information and records are what?
- In medicine, when a patient gives permission to a healthcare provider to provide treatment, he or she is giving what?
- A number is assigned to each patient's medical record in what type of system?
- What is the simplest type of numeric filing system?
- What type of report in a medical record describes a surgical procedure?
- What type of consent forms are included in a medical record?
- Who may request a patient's medical records from another physician or healthcare provider?
- What type of medical record shows patient information in reverse chronological order?
- Patient information is placed in which order in a source-oriented medical record?
- What does the "O" stand for in the acronym SOAP?
- What does the "S" in the acronym SOAP stand for?
- What type of medical records are considered to be archives?
- What are the three most commonly used filing systems?
- What document allows an agent or representative to act on behalf of a patient?
- What document allows patients to request that life-sustaining treatment and nutritional support not be used to prolong life?
- Which component of a Problem-Oriented Medical Record (POMR) describes a course of action for each identified problem?
- What are the four components of a Problem-Oriented Medical Record (POMR)?
- What component of a medical record contains all records and documentation related to a request for a second opinion on a particular patient's case?
- What component of a medical record contains a patient's identifying information, such as name, address, phone number, date of birth, insurance information, and Social Security number?
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