Listed below are the basic components required in ambulatory care records, also listed are some recommended components that maybe needed.

Listed below are the basic components required in ambulatory care records, also listed are some recommended components that maybe needed.

Pick one of the recommended components and discuss how you would identify, track and resolve any issues that may arise when using paper-based records versus electronic health records.Certain basic components are required in every record of ambulatory care. These include the following:• Registration record, which documents demographic data about the patient• Problem list, which summarizes all of the medical and surgical problems that have long-term clinical significance for the patient’s care, including allergies• Medication list, which contains pertinent information about the medications the patient is taking• Patient history questionnaire, which asks the patient for information about current and past medical conditions• Medical history, which documents the provider’s findings on the patient’s health status• Physical examination report, which contains the provider’s findings on examination of the patient• Immunization and injection records, which chronicle the patient’s vaccinations• Progress notes, which provide a chronological summary of the patient’s illness and treatment at each encounter• Physician orders, which document the physician’s instructions to other parties involved in providing the patient’s careThe following items are RECOMMENDED:• Patient instructions, which document the instructions the provider gave the patient regarding follow-up care• Failed/missed appointment form, which documents patient noncompliance with recommendations for follow-up appointments with the provider• Flow sheets, which can be used to document treatment between patient visits• Telephone contact records, which document telephone communications between the patient and his or her healthcare providersAnswer the question by researching and documenting your thoughts and opinions in your own words. Be sure that your references are in APA 6 format and include at least a minimum of 250 words.

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Listed below are the basic components required in ambulatory care records, also listed are some recommended components that maybe needed. essay Campus Nursing Papers.