CLINICAL MEDICINE

MEDICINE

MEDICAL STATISTICS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Patient information in their medical record should include
A
a record of divoreces
B
the date of birth
C
the date of marriage
D
the date of the spouses birth
Explanation: 

Detailed explanation-1: -Medical records include a variety of documentation of patient’s history, clinical findings, diagnostic test results, preoperative care, operation notes, post operative care, and daily notes of a patient’s progress and medications.

Detailed explanation-2: -A record of information about a person’s health. A personal medical history may include information about allergies, illnesses, surgeries, immunizations, and results of physical exams and tests. It may also include information about medicines taken and health habits, such as diet and exercise.

Detailed explanation-3: -In general, a medical history includes an inquiry into the patient’s medical history, past surgical history, family medical history, social history, allergies, and medications the patient is taking or may have recently stopped taking.

Detailed explanation-4: -Write legibly. Include details of the patient, date, and time. Avoid abbreviations. Do not alter an entry or disguise an addition. Avoid unnecessary comments. Check dictated letters and notes. Check reports. Be familiar with the Data Protection Act 1998. 09-Jan-2014

There is 1 question to complete.