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Thursday, April 6, 2017

What is Patient Information?


Patient Information is the data gathered, verbal or writing, which is documented to complete the healthcare documentation process. Things that are gathered include:
  • Patient Demographics
    • facts about the patient
    • ex. name, address, phone number, gender, date of birth, ethnicity
  • Personal information
    • ex: living situaion, diet, activites
  • Medical information
    • ex: changes in health or activities of daily living (ADL)
Gathering Patient Information begins when the patient first make an appointment.

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