Medical Record, Documentation, and Filing study Guides And Correct Answers 2025
_________ means to clean out. - ansPurge
A _______ _____ can be an expanding file, a card file, or even a portion of a file drawer. It consists of dividers
with the names of all the months and dividers numbered from 1 to 31 for the days of the month. - anstickler
file
CHEDDAR - ansC- chief complaint, presenting problem
H- history, past medical events and problems
E- examination, objective findings
D- details, test results, additional findings
D- drugs/dosages, medications and amounts
A- assessment, diagnosis and plan and complaint
R- return visit, follow-up
Describe the correct procedure for making a correction in a chart. - ansVerify the information. Cross out the
error, clearly annotating it as such, with a single line through. Enter time, date, and initials of the author next to
the correction with the reason for the correction.
Describe the necessary steps for pulling a file. - ansFind the name of the patient in the alphabetic file; double-
check spelling; prepare an OUTguide with a date and name of person pulling or requesting file; and replace the
file with the OUTguide.
EHR is an acronym for ______ _______ ________. - anselectronic health record
For the next six questions, identify whether the statement is subjective or objective. - ans
His skin is pale and diaphoretic. - ansobjective
_________ means to clean out. - ansPurge
A _______ _____ can be an expanding file, a card file, or even a portion of a file drawer. It consists of dividers
with the names of all the months and dividers numbered from 1 to 31 for the days of the month. - anstickler
file
CHEDDAR - ansC- chief complaint, presenting problem
H- history, past medical events and problems
E- examination, objective findings
D- details, test results, additional findings
D- drugs/dosages, medications and amounts
A- assessment, diagnosis and plan and complaint
R- return visit, follow-up
Describe the correct procedure for making a correction in a chart. - ansVerify the information. Cross out the
error, clearly annotating it as such, with a single line through. Enter time, date, and initials of the author next to
the correction with the reason for the correction.
Describe the necessary steps for pulling a file. - ansFind the name of the patient in the alphabetic file; double-
check spelling; prepare an OUTguide with a date and name of person pulling or requesting file; and replace the
file with the OUTguide.
EHR is an acronym for ______ _______ ________. - anselectronic health record
For the next six questions, identify whether the statement is subjective or objective. - ans
His skin is pale and diaphoretic. - ansobjective
