Question 86 · LEK · Medical records

One of the family doctor’s duties is to keep medical records. The individual documentation of the patient consists of the internal documentation, kept for the purposes of the entity providing care, and the external documentation. The internal individual documentation includes:

1) health and disease history;
2) patronage visit card;
3) referral for a diagnostic test;
4) referral to the hospital;
5) hospital treatment information card.
The correct answer is:

A. only 1.
B. 1,2.
C. 1,2,3.
D. 1,3.
E. all the above.

Hint

Internal records stay with the provider; documents issued to the patient or sent to another provider are external.

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One of the family doctor’s duties is to keep medical records. The individual documentation of the patient consists of the internal documentation, kept for the purposes of the entity providing care, and the external documentation. The internal individual documentation includes:

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