0
Want this question answered?
Be notified when an answer is posted
Add your answer:
Earn +20 pts
What is the form in the medical record that contains subjective info about the patient's past illness?
The form in the medical record that contains subjective info about the patient's past illness is called a SOAP note. SOAP is the acronym for subjective, objective, assessment, and plan.
What is the interval from the tonic to the 3rd of a major scale?
The interval from the tonic note to the third note of a major scale is a major third.
What is the interval from the tonic to the 3rd of a major scale is?
The interval from the tonic note to the third note of a major scale is a major third.
Which medical record system has a standard format that makes it easy to read and audit?
progress note
How do you create 'Major' and 'Minor' triads?
A triad consists of three notes: the tonic (or the first note of the scale), the mediant (or the third note of the scale), and the dominant (or the fifth note of the scale).For a major triad, the interval between the first and third note is a major third, and the interval between the first and fifth note is a perfect fifth.For a minor triad, the interval between the first and third note is a minor third, and the interval between the first and fifth is a perfect fifth.
What kind of record format consists of format databases problem lists initial plans and progress notes?
The record format you are referring to is likely the SOAP note format used in medical documentation. SOAP notes include subjective information (S), objective data (O), assessments (A), and plans (P), making it a structured format for healthcare professionals to document patient encounters.
Does HIPAA require that the healthcare practitioner change a medical record if a patient complains?
No. HIPAA is concered with privacy issues. It is a set of rules governing under what circumstances your medical information can be released to others. It has no bearing on what is recorded in that information. The medical record is the record created by the doctor. It is how he sees things and there is nothing that can make the doctor change his records. In fact, if the doctor allowed himself to be cooerced into recording something that he did not feel was true then that could be viewed as fraud. Most offices do have some provision for allowing the patient to comment on what is in the record. They may allow you to place a note giving "your side" to what is recorded. They may honor your request to make some changes (again, but only if the doctor believes they are true). If proper procedure is followed the changes will make it clear what was changed, when, by whom, and why so the previous information will not be truly deleted. They may just include a note saying that you refute what is written.
What does the medical acronym SOAPER stand for?
SOAP is a medical acronym for the parts of a clinical note. S = subjective (what the patient states). O = objective (what you observe). A = assessment (your best guess of what's going on; the Diagnosis). P = plan (the treatment plan for dealing with this diagnosis).I do not know what the ER stands for. Some possibilities come to mind:Electronic Record/ReportEncounter Record/ReportEvaluation ReportEducation & Risks
What is the name of the note the interval of a 7th above D?
C
What is the harmonic interval of F?
An interval is the distance between two notes. There's no answer possible when only given one note.
What is an augmented interval?
Generally, augmentation means to enlarge. In music theory, augmentation can be applied both to note values (time/duration) and to intervals (pitch relationship between to pitches). When you augment a note value you increase the duration of the note (the time you hold the note) over its previous value. Augmenting an interval is the process of increasing an interval by exactly one chromatic semitone (raise the interval a 1/2 step). In chord theory, an Augmented chord always means you are raising the 5th by a 1/2 step. Technically, you can augment any interval (unisons, seconds, thirds, etc.), but in practical terms, augmented intervals are reserved for the perfect intervals of 4ths and 5ths.
What is abbreviation for history and physical as you will see it written in the patients medical record?
History and physical may be abbreviated "H&P" on a medical record. In a soap note, you might instead see "HPI" for history of present illness, "PFMSH" for previous family, medical, and social history, and "PE" for physical exam.
