Ch 2 Learning Objectives

  • Define the term health record and examine its multiple purposes.
  • Explain ownership of the health record.
  • Describe the requirements and standards for the health record.
  • Describe the paper health record's purpose, format, and features.
  • Differentiate the types of data in the health record.
  • Explain the importance of proper documentation in the health record.
  • Describe the purpose, format, and features of the electronic health record (EHR).
  • Compare and contrast the workflow of the paper health record versus the EHR.