List three fields that could be recorded on an electronic medical ...

[bobthebuilder]

List three fields that could be recorded on an electronic medical record screen with the heading Patient Physical Exam.

Question 2

Sally Smith, RHIT, is designing a screen to collect information on a patient's medical history. List three fields that should be part of the screen.

[mohan]

Answer to Question 1

Patient physical exam fields could include: height, weight, blood pressure, pulse, respiration, temperature, general appearance, any physical exam findings, and so on.

Answer to Question 2

Fields could include: patient name, identification number, problem list, surgical history, family history, social history, allergies, medications, and so on.