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An initial plan describes the actions that will be taken to evaluate, treat, and educate the patient about his or her current condition.

A History and Physical dictated by an unlicensed resident must have

The primary purpose of the patient record is to provide continuity of care.

The medical record is the property of the provider.

When a facility closes, it is the responsibility of the closing facility to ensure that records are handled according to federal and state statutes.

A ______________occurs after a patient is admitted to the hospital

Demographic data is a type of clinical data that identifies a patient’s medical condition.

Ready-to-use forms are often more expensive to purchase and therefore are used by few facilities.

Incident reports should be filed in the patient record.

Sam Smith, a social worker at Sunny Valley Hospital, reviews a patient’s record to obtain information needed for a nursing home referral. He needs to determine the marital status, race, and ethnicity of the patient. This information would be part of the ____ data recorded in the record.