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Ehr Chapter 7 Review

In: Computers and Technology

Submitted By alissajacobsen13
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Chapter 7 Review, Page 300 1. A problem list is an up-to-date list of the diagnoses and conditions that affect a particular patient’s care. 2. The idea of a problem list is to ensure that everyone who touches a patient knows what conditions are present. 3. Using a problem list is easy for clinicians to view active and history of problems. Most clinical information recorded in the charts are related to one or more problems. Problem lists are used to track both acute and chronic conditions. It helps clinicians remember to follow up on conditions from previous visits. They actually are required to use a problem list. Maintaining a problem list is a requirement for accreditation by JCAHO. 4. Wellness conditions on the problem list are used to generate preventative care recommendations for healthy patients. It is based on age and sex of the patient and are used in health maintenance and preventative screening programs to keep patients healthy. 5. The data that appears in the manage tab comes from previous encounters or patient visits. 6. Finding a citing means to bring a finding to the current encounter, usually as a follow up to a previous visit. 7. Lab values means to compare the change of certain test components over a period of time. 8. To graph a patient’s weight, all you need to do is click on the graph menu at the very top of the screen to the left, and click weight. 9. Anything with numerical values can be graphed. 10. A pending order is an order that was sent to the lab with no results received yet. 11. First you would highlight the finding to be graphed, then you would click on the graph menu, then click on current finding. 12. The minimum answer is the plan section of previous encounters. Findings from any group can be added to the care plan manually. 13. You click on the labels over the columns of…...

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