Knowledge Activity: Case Study Review
(Associate)
Student instructions
1. If you have questions about this activity, please contact your instructor for assistance.
2. You will review the chart of Camille Wall to complete this activity. Your instructor has
provided you with a link to the Case Study Review (AS) activity. Click on 2: Launch EHR
to review the patient chart and begin this activity.
3. Refer to the patient chart and any suggested resources to complete this activity.
4. Document your answers directly on this activity document as you complete the activity.
When you are finished, you will save this activity document to your device and upload
this activity document with your answers to your Learning Management System (LMS).
The activity
This activity is a detailed case study review, or audit, of a chart and its contents. The activity
provides an overview of documentation review in an electronic health record, and an
introduction to how the diagnosis is supported through documentation, the patient’s progress,
clinical findings, and discharge status.
After launching and thoroughly reviewing teach tab in the EHR of Camille Wall, answer the
questions below.
Questions
1. List the patient’s name and social security number (SSN). Camille Wall, 298-75-3892
2. At which service location did this patient receive care? General Hospital
3. What is the patient’s address, employment information, and listed insurance plan name?
Be sure to review all areas of the patient’s EHR when searching for this information,
including the patient’s notes documented on the Notes tab.
5847 Shoreview Dr, Madison, WI 53532, Employed, TRICARE Select
4. List any documented problems, along with the status and immediacy of each.
Osteoarthrosis, generalized, multiple sites – active – acute
Pain in joint, lower leg – active – acute
Backache, unspecified – active – acute
5. List the procedure the patient recently underwent. Right total knee arthroplasty
6. List the patient’s medication orders and their dose, route, and frequency.
Lortab, 2 tablets, by mouth, every 4 hours as needed
Demerol, 50mg, intravenous, every 2 hours
EHR Go Knowledge Activity: Case Study Review (Associate) HAK1004.6
Archetype Innovations LLC ©2022 1
(Associate)
Student instructions
1. If you have questions about this activity, please contact your instructor for assistance.
2. You will review the chart of Camille Wall to complete this activity. Your instructor has
provided you with a link to the Case Study Review (AS) activity. Click on 2: Launch EHR
to review the patient chart and begin this activity.
3. Refer to the patient chart and any suggested resources to complete this activity.
4. Document your answers directly on this activity document as you complete the activity.
When you are finished, you will save this activity document to your device and upload
this activity document with your answers to your Learning Management System (LMS).
The activity
This activity is a detailed case study review, or audit, of a chart and its contents. The activity
provides an overview of documentation review in an electronic health record, and an
introduction to how the diagnosis is supported through documentation, the patient’s progress,
clinical findings, and discharge status.
After launching and thoroughly reviewing teach tab in the EHR of Camille Wall, answer the
questions below.
Questions
1. List the patient’s name and social security number (SSN). Camille Wall, 298-75-3892
2. At which service location did this patient receive care? General Hospital
3. What is the patient’s address, employment information, and listed insurance plan name?
Be sure to review all areas of the patient’s EHR when searching for this information,
including the patient’s notes documented on the Notes tab.
5847 Shoreview Dr, Madison, WI 53532, Employed, TRICARE Select
4. List any documented problems, along with the status and immediacy of each.
Osteoarthrosis, generalized, multiple sites – active – acute
Pain in joint, lower leg – active – acute
Backache, unspecified – active – acute
5. List the procedure the patient recently underwent. Right total knee arthroplasty
6. List the patient’s medication orders and their dose, route, and frequency.
Lortab, 2 tablets, by mouth, every 4 hours as needed
Demerol, 50mg, intravenous, every 2 hours
EHR Go Knowledge Activity: Case Study Review (Associate) HAK1004.6
Archetype Innovations LLC ©2022 1
