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The HIM Department receives a request for a certified copy of a birth certificate on a patient born in the hospital 30 years ago. The Department should

  1. issue a copy of the birth certificate from the patient's record.
  2. direct the request to the state's office of vital records.
  3. direct the request to the attending physician.
  4. issue a copy of the newborn's record.

Answer(s): B



A surgeon requests the name of a patient he admitted on January 4, 2009. Which of the following would be used to retrieve this information?

  1. master patient index
  2. number index
  3. admission register
  4. operation index

Answer(s): C



Which of the following is NOT a consideration in the file folder size and design?

  1. reinforced top and side panels
  2. scoring on folder bottoms
  3. vendor location
  4. weight of folder

Answer(s): C



Where in the health record would the following statement be located: "Microscopic Diagnosis: Live (needle biopsy), metastatic adenocarinoma"?

  1. operative report
  2. pathology report
  3. anesthesia report
  4. radiology report

Answer(s): B






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