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Compare and Contrast the elements and time frame of each component found in each of the different types of records listed below. List what they have in common and documentation this is unique to the record type.

Inpatient Health (Acute) Records

Out Patient Records

Long-Term Care Records

Rehabilitation Records

Behavior Health Records

Answer 1

Medical records are important for quality of health care services..
Medical records will be specific in personal identification information includes medical history( diagnosis, medical care,treatment, allergies) habits,family history includes information about family members health concerns are genetic..Medical history about previous medication includes illegal drugs,herbal,western,home remedies, etc..Treatment history regarding previous treatment whether they worked or failed..
Inpatient medical records will consist of Patient name,age,gender,physician name,length of stay,type of medical insurance, hospital ward type where they got admitted lab test,medication use,physician visit,inpatient discharge summary reports,operation notes if surgery done..it also include patient consent,medical flow sheet from ICU unit,medical devices used as per patient condition..
Outpatient records consists of types of notes entered by physician,,it includes patient type of visit,name ,age and gender,physician name,chief complaint, history of the illness,physical examination,plan, orders, lab test ,next visit date and time.
Long-term care records may extended duration since residents may stay for long duration..it provide unique challenge may include analysis and storage of voluminous medical records to provide effecive continuity of care..federal regulation pertaining of clinical records,Admission record, Assessment type,care plan,summary,medicare documentation, rehabilitation therapy documentation,physician documentation and orders,drug review, treatment records. flowchart,labs and special reports,informed consent,discharge documentation..medicare coverage and service eligibility..
Rehabilitation records must include the physician order,reasonable admission,length of time needed for improvement,clinical complication, treatment needed, frequency and duration of treatment, post-discharge treatment, detailed functional outcomes,medical coverage..