Author Question: All patient record entries require authentication. List six methods of ... (Read 67 times)

awywial · **on:** Jul 12, 2018

All patient record entries require authentication. List six methods of authentication.

Question 2

Explain the terms administrative data and clinical data. Give three examples of each.

Jbrasil · **Reply #1 on:** Jul 12, 2018

Answer to Question 1

Methods of authentication include signatures, countersignatures, initials, fax signatures, electronic signatures, and rubber-stamp signatures.

Answer to Question 2

Administrative data includes demographic, socioeconomic, and financial information. Clinical data includes all patient health information obtained throughout the treatment and care of the patient. Examples of administrative data include demographic (patient name, patient address, sex, date of birth, Social Security number, and telephone number), socioeconomic (marital status, race and ethnicity, and place of employment), financial (third-party payer and insurance number). Examples of clinical data include consultation report, discharge summary, history, physical examination, laboratory results, operative record, progress notes, and radiology reports.