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RHIA Exam - Question 31


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

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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.

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jlc3820
Oct 13, 2024

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
Nov 30, 2024

Thanks for clarifying

echoes
Sep 29, 2024

Why is the answer is database and not progress note?