hcis255 r2 health record worksheet wk1 Essay

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Health Record Worksheet

In 150 to 350 words, explain the importance of the health record. Support your explanation using your assigned readings. The importance to health records is that it is easier to treat a patient if you already have the history of the patient illnesses and what medications have helped in the past as well as it will tell them anything they are allergic. They are also important for you don’t have to retake the same test over again if you already have it on file at the hospital you went too. Now with the electronic health care they are heping to make the paients experience better for them with less wait time and questions. Also with the electronic health records it helps the
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The doctor will tell the patient why they are in pain and the next steps for them.
Pharmacy system component
This is where the doctor can order perscriptions and send them to the pharmacy without writing out a prescription and giving them a paper to bring to pharmacy. Also will help make sure that there are no forgery with any of orders. That way the patient doesn’t lose it as well.
Clinical documentation
This where the patients information goes so it is easily found by the doctor to access it. Also is where the description of the events that happened of each visit with the patient and what has worked and what did not work as a solution. Also can find the patients contact information here.

Use the following table to identify and list at least five structured coding systems. Additionally, include a 50- to 100-word description of each system. Support your descriptions using your assigned readings.

Structured coding system
International classification of diseases this would be different coding they use between other countries and the United States. This is when I believe a patient comes to America with the disease already in them so they talk about it to others they use a code instead of just plainly saying it out loud in front of the patient.
Diagnostic and Statistical Manual of Mental Disorders
This is what doctors use to label someone with a mental disorder whether it was from birth or from a substance abuse. Every patient

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