Question

In which section of the EMR do you record the results of the healthcare provider's investigation of the patient's body for signs of disease and/or injury?

Option 1: Assessment
Option 2: Review of Systems (ROS)
Option 3: Physical Examination
Option 4: Treatment Plan

Answer 1

The Physical Examination section of the EMR is where the results of a healthcare provider's investigation of a patient's body for signs of disease or injury are recorded.

Step-by-step explanation:

The results of the healthcare provider's investigation of the patient's body for signs of disease and/or injury are recorded in the Physical Examination section of the Electronic Medical Record (EMR). This section documents the findings from the physical assessment performed by the healthcare provider, including the inspection, palpation, percussion, and auscultation of various body systems. Options such as Assessment are typically where the healthcare provider would interpret the physical examination findings and other clinical data to formulate a diagnosis. The Review of Systems (ROS) is primarily the healthcare provider's checking of the patient's symptoms based on systems, whereas a Treatment Plan is where the course of action for managing the patient's condition is outlined.