Question 31 (2.5 points)
Which of the following would NOT be found on a discharge summary?
Question 32 (2.5 points)
An attending physician’s request for a consult is called a(n):
Question 33 (2.5 points)
All of the following documentation guidelines have been developed by AHIMA EXCEPT:
Question 34 (2.5 points)
The acronym SOAP stands for:
Question 35 (2.5 points)
All orders, including medications, lab tests, and diagnostic tests, must be:
Question 36 (2.5 points)
Which of the following is NOT an advantage of the PHR?
Question 37 (2.5 points)
Surgical procedures require which of the following?
Question 38 (2.5 points)
The birth of a baby requires a document recording the birth to be signed and sent to the:
Question 39 (2.5 points)
Who owns the patient health record?
Question 40 (2.5 points)
Health information professionals use which of the following to ensure quality patient records?