EHR Go Case Study Review (Baccalaureate) HBK1004.8 .d Questions and Answers | 2026 Update with complete solutions-HIM 445

Knowledge Activity: Case Study Review (Baccalaureate) 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 (BS) 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, 2. At which service location did this patient receive care? General hospital 1 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 • Tricare • Airforce 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. 2 • Lortab 10/500 (hydrocodone bitartrate / APAP) Oral Tablet,2 tablets PO, as directed PRN. • Meperidine Hydrochloride 50 MG/ML Injectable Solution, IV,Q2H • Promethazine Hydrochloride 25 MG/ML Injectable Solution [Phenergan],IV as directed PRN • 1 ML Diphenhydramine Hydrochloride 50 MG/ML Prefilled Syringe, 25 mg IV every 6 hours as needed for itching, AS DIRECTED PRN • Sodium Chloride 0.9% (Normal saline) (NaCl),1000ml, IV, CONTINUOUS • 0.4 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe [Lovenox], 0.4mL,SQ,daily 7. What are the patient’s allergies and the reaction, if listed? NKA 8. Does the patient have any Advance Directives documented in her EHR? If so, what are they? no 9. List the patient’s most recent set of vital signs, including temperature, pulse, respiration, blood pressure, pulse oximetry, and pain. • Temperature :98.8F • Pulse :82 • Respiration :16 • Blood Pressure :130/80 • Pulse Oximetry :93 • Pain 0 10. List the patient’s most recent lab values for HGB (hemoglobin), WBC (white blood cells) and Glucose found under the Labs tab. HGB 12.4 WBC 10.6