Transcribed Image Text from this Question
Match the following source document with the appropriate definition. Patient’s Registration Form Includes the patient’s demographic information. Physician’s Notes/Operative Reports Another physician or health care provider referred this patient for a consultation Pathology and Laboratory Reports Written documentation of what occurred during the encounter between physician and patient, also known as clinical documentation Imaging Reports Results of testing performed on blood, tissue, and other specimens. Medication Logs Written reports containing professional interpretations of images taken of the patient. Discharge Summary Record of every time medication is administered to a patient. Referral Authorization Form Written record of allergy to avoid giving the patient any substance to which he or she may be allergic. History and Physical (H&P) Written report explaining the background and current issues used to make the decision to admit the patient into the hospital. Allergy List Written report of the specialist’s findings upon examination, at the request of the attending physician. Consultations Reports Summary that provides the conclusions and results of the patient’s stay in the facility. Reset
(Visited 3 times, 1 visits today)