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you will write a 1–2 page paper that analyzes the different types of documentati
you will write a 1–2 page paper that analyzes the different types of documentation in the health record. Familiarity with the contents and use of each type of documentation is an important aspect of your role as a HIM professional.
Write a 1–2 page paper that describes the purpose and contents of some of the types of documentation used in the HIM field. Specify the settings in which these documents would be used.
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 2: Use medical terminology and abbreviations related to general structures and functions of the human body.
Identify medical terms related to general structures and functions of the human body correctly.
Translate medical terms related to general structures and functions of the human body into common terms correctly.
Competency 3: Use medical terminology and abbreviations related to body systems.
Identify medical terms related to body systems correctly.
Translate medical terms related to body systems into common terms correctly.
Competency 5: Analyze and define medical terminology as used in health information management.
Describe the purpose and contents of some of the types of documentation that are part of the health record.
Identify settings where the documentation is used.
Competency 6: Spell and pronounce basic medical terms.
Identify misspelled medical and common terms.
Spell medical and common terms correctly.
Competency 7: Communicate in a professional manner.
Write clearly, with correct spelling, grammar, and syntax, and good organization.
Provide citations and references in APA style.
Write a short, 1–2 page paper on some of the types of documentation used in the HIM field. Be sure your paper includes all of the following headings:
Progress Note.
History and Physical (H&P).
Operative Report.
Discharge Summary.
Under each heading, address each of the following:
Describe the purpose of the document.
Detail the contents included.
Identify settings where the document would be used.
Written communication: Your paper does not need to be in APA format. It does need to be clear and well organized, with correct spelling, grammar, and syntax, to support orderly exposition of content.
Name: Include your name in the upper right-hand corner on your paper.
Length: Approximately 1–2 typed and double-spaced content pages in Times New Roman, 12-point font, not including the reference page.
References: Include a minimum of one citation of peer-reviewed sources in APA format.
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