How many elements identified by a bullet have been documented in this medical documentation?
a. Between one and five
b. More than six
c. Two elements identified by a bullet from each of six systems/body areas OR at least 12 elements identified by a bullet in two or more systems/body areas
d. All elements identified by a bullet in at least nine areas/systems AND documentation of at least two elements identified by a bullet in each of the nine areas/systems
Question 2
Which element identified by a bullet is documented in the words patient calmed after a few moments' interruption?
a. Constitutional: measurement of any 3 of the following 7 vital signs: (1) sitting or standing blood pressure, (2) supine blood pressure, (3) pulse rate and regularity, (4) respiration, (5) temperature, (6) height, (7) weight
b. Psychiatric: brief assessment of mental status including: mood and affect (e.g., depression, anxiety, agitation)
c. Cardiovascular: auscultation of heart with notation of abnormal sounds and murmurs
d. Neurologic: examination of sensation (e.g., by touch, pin, vibration, proprioception)
Elements found in the element cube
A typical reception area in a medical office.
An example of a late entry to the medical record.
A diverse team of medical assistants.
Medical assistant shaking hands with the interviewer at the close of the interview.
Reacting to Medical Treatments