Question

The nurse reviews various standardized terminology before entering patient data in the electronic medical record. What is the purpose of this review?

1) To store patient information properly in order to apply for Medicaid incentives
2) To ensure that patient information is meaningful to other health care professionals
3) To allow the nurse to retrieve the information the next time it is needed
4) To ensure that patients can understand information within the electronic health record

Answer 1

The purpose of reviewing standardized terminology before entering patient data in the electronic medical record is to ensure meaningful information for other health care professionals.

Step-by-step explanation:

The purpose of reviewing various standardized terminology before entering patient data in the electronic medical record is to ensure that patient information is meaningful to other health care professionals.

Standardized terminology helps to standardize the documentation of patient information, making it easier for different health care professionals to understand and interpret the information. This promotes effective communication and coordination of care among the health care team.

For example, standardized terminology such as ICD codes are used by clinicians to order laboratory tests and prescribe treatments specific to the patient's condition. Other health care professionals can then use these codes to retrieve the information they need for decision-making and providing appropriate care.