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Author Question: Who is the legal owner of the patient's medical record? a. Patient b. Physician c. Institution ... (Read 56 times)

wenmo

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on: Jul 23, 2018
Who is the legal owner of the patient's medical record?
 
  a. Patient
  b. Physician
  c. Institution
  d. State

Question 2

What is the documentation format that uses the acronym SOAPE?
 
  a. Problem-oriented
  b. Focused
  c. Traditional
  d. Crisis


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zoeyesther

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Ownership of a medical record belongs to the institution in the case of a hospitalized patient, or the physician in the case of private office visits.

Answer to Question 2

ANS: A
The problem-oriented medical record uses the acronym SOAPE to format and for focus charting on a list of patient problems/nursing diagnoses.


wenmo

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  • Posts: 540
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

AmberC1996

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Reply 3 on: Yesterday
Excellent

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