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Author Question: List three fields that could be recorded on an electronic medical record screen with the heading ... (Read 106 times)

bobthebuilder

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on: Jul 12, 2018
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

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Reply #1 on: Jul 12, 2018
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.


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