The following excerpt would most accurately be classified as which kind of health care record? Dear Dr.Childs,
Thank you for referring Mr.Samuels to my office.I saw him on March 3, 2015.Mr.Samuels has a 4-month history of increasing pain in his right distal femur.He first noticed pain after being kicked in the leg at a soccer game and was evaluated in your office 3 weeks later for persistent pain.There was a soft tissue mass in his distal femur that was tender to touch.
A)Consult note
B)Operative report
C)Pathology report
D)Prescription
E)Discharge summary

Question

Quizplus · Accepted Answer

The excerpt is a communication between two healthcare providers regarding the patient's medical history and current condition. Specifically, it is a consult note documenting the referral of Mr. Samuels from Dr. Childs to the author of the note. The other options listed (operative report, pathology report, prescription, and discharge summary) would contain different types of information, such as details about a surgical procedure, results of tests performed on tissue samples, medication orders, and a summary of hospitalization and discharge instructions.

The Following Excerpt Would Most Accurately Be Classified as Which