This topic contains a solution. Click here to go to the answer

Author Question: Health records are classified as primary or secondary records. Give an example of each type. What ... (Read 94 times)

stevenposner

  • Hero Member
  • *****
  • Posts: 608
Health records are classified as primary or secondary records. Give an example of each type.
 
  What will be an ideal response?

Question 2

An electronically signed document is sealed, which means what may happen?
 
  A) It may be amended if necessary.
  B) It may now be edited extensively.
  C) It may not be modified or amended in any way.
  D) It may be viewed only by the recipient of the document.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

annierak

  • Sr. Member
  • ****
  • Posts: 340
Answer to Question 1

Primary records are those that are gathered directly from the patient and his or her provider. Examples include patient history, SOAP note, doctor's notes, admission or discharge reports, nursing notes, orders, lab results, radiology reports, patient history, problem list, medications list, as well as data obtained from devices.
Secondary records are those that are created later when analyzing, summarizing, or abstracting from the primary records. Examples include the master patient index, insurance claims, patient bills, and aggregate data used for research and statistical reports (ALOS was given as an example).

Answer to Question 2

A





 

Did you know?

Symptoms of kidney problems include a loss of appetite, back pain (which may be sudden and intense), chills, abdominal pain, fluid retention, nausea, the urge to urinate, vomiting, and fever.

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

For a complete list of videos, visit our video library