Exam RHIA All QuestionsBrowse all questions from this exam
Question 31

Which of the four distinct components of the problem-oriented record contains the medical and social history of the patient?

    Correct Answer: A

    The medical and social history of a patient is contained in the database component of the problem-oriented record. The database includes comprehensive information such as the patient's medical history, physical examination findings, laboratory results, and other relevant data collected during the initial evaluation. The other options, such as the problem list, initial plan, and progress notes, serve different purposes within the problem-oriented record.

Discussion
jlc3820Option: A

The database contains the patients medical history, lab results, X-rays, stuff like that. The progress note contains the patient’s progress and their medical problems. Hope this helps

LaLaw

Thanks for clarifying

echoesOption: A

Why is the answer is database and not progress note?