Identify patient, date, time, and purpose of visit.
DefinitionIdentification should include
- verification with two unique identifiers (e.g., date of birth, last four digits of Social Security number)
- chief complaint (e.g., date, time, and signs and symptoms)
- basic information regarding the visit (e.g., duration of signs and symptoms, home treatment)
- signature and title of medical assistant.
- What is the importance of accurate documentation?
- What are the consequences of omitting this information?
- Why is it important to verify patient data at each visit?
Related Standards of Learning
The student will read, interpret, analyze, and evaluate a variety of nonfiction texts including employment documents and technical writing.
- Apply information from texts to clarify understanding of concepts.
- Read and correctly interpret an application for employment, workplace documents, or an application for college admission.
- Analyze technical writing for clarity.
- Paraphrase and synthesize ideas within and between texts.
- Draw conclusions and make inferences on explicit and implied information using textual support.
- Analyze multiple texts addressing the same topic to determine how authors reach similar or different conclusions.
- Analyze false premises, claims, counterclaims, and other evidence in persuasive writing.
- Recognize and analyze use of ambiguity, contradiction, paradox, irony, sarcasm, overstatement, and understatement in text.
- Generate and respond logically to literal, inferential, evaluative, synthesizing, and critical thinking questions about the text(s).