Final   What type of report would be issued after a urinalysis was performed? A _______________ is defined as a condition that began after the patient was admitted for inpatient care

1. What type of report would be issued after a urinalysis was performed?

Laboratory

2. A _______________ is defined as a condition that began after the patient was admitted for inpatient care.

complication

3. Generally, which of the following people does have authority to disclose protected health information?

-A parent or legal guardian on behalf of a minor child or legally incompetent adult
-The executor or administrator of an estate if the patient is deceased
-The patient, if the patient is a competent adult or emancipated minor

4. Accreditation standards and the Medicare Conditions of Participation require that the patient's ________________ be documented by the attending physician in the patient's health record no more than thirty days after discharge.

principal diagnosis

5. Specific instructions for patient care after discharge are called ___________________.

discharge instructions

6. The discharge summary must be completed within ___________ after discharge for most patients but within _______________ for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for less than ________________ hours.

30 days/24 hours/48 hours

7. The _________________ is the condition established, after study, to have been the main reason for the patient's admission for inpatient treatment.

principal diagnosis

8. Health problems or conditions, present in the patient before admission, that affected the patient's care are called_________________.

comorbidities

9. A concise account of the patient's illness, course of treatment, response to treatment, and condition at discharge is called a:

Discharge summary

10. Who is responsible for writing and signing discharge summaries and discharge instructions?

The attending physician