# CTE Resource Center - Verso - Medical Assistant I Task 1688248527

CTE Resource Center - Verso

Virginia’s CTE Resource Center

Identify the chart components related to electronic and paper records.

Definition

Identification should ensure that the following types of information is included:
  • Administrative/demographic
  • Financial/insurance
  • Correspondence
  • Referrals
  • Past medical records
  • Clinical data
  • Progress notes
  • Diagnostic information
  • Lab results
  • Medications
Identification also should include describing methods of organizing the patient's medical record. This should be based on problem-oriented medical record (POMR) and source-oriented medical record (SOMR).

Process/Skill Questions

  • What documentary evidence does the medical chart include?
  • How does a properly-assembled chart protect the legal and safety interests of the patient?
  • How does a properly-assembled chart serve as the basis of patient care?
  • What happens if information is omitted from a patient chart?
  • What are the advantages and disadvantages of paper records vs. computer-based records?

Related Standards of Learning

English

11.5

The student will read, interpret, analyze, and evaluate a variety of nonfiction texts including employment documents and technical writing.
  1. Apply information from texts to clarify understanding of concepts.
  2. Read and correctly interpret an application for employment, workplace documents, or an application for college admission.
  3. Analyze technical writing for clarity.
  4. Paraphrase and synthesize ideas within and between texts.
  5. Draw conclusions and make inferences on explicit and implied information using textual support.
  6. Analyze multiple texts addressing the same topic to determine how authors reach similar or different conclusions.
  7. Analyze false premises, claims, counterclaims, and other evidence in persuasive writing.
  8. Recognize and analyze use of ambiguity, contradiction, paradox, irony, sarcasm, overstatement, and understatement in text.
  9. Generate and respond logically to literal, inferential, evaluative, synthesizing, and critical thinking questions about the text(s).

Other Related Standards

HOSA Competitive Events

Health Professions Events

 

Medical Assisting