Discuss how a chart is to be organized, include data elements, source oriented versus problem oriented, active, inactive or closed status. Describe protocols for retrieving, routing, purging, storing, transferring, retaining and destruction of medical records. What filing systems are available, i.e. numbering, alphabetical and alphanumeric and which one would you choose? Include what order would you organize medical encounters into one chronological file. What type of information (labs, x-rays, progress notes, etc.) would you gather? What supplies do you need to build that record? Answer in detail if the record belongs to the patient since he/she pays for the services?
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