File the record alphabetically by first name , followed by last name alphabetically and then alphabetically by middle name. File the record alphabetically by the last name, followed by alphabetical order of the first name, and then alphabetical order of the middle initial.
Subjective, entry relates significant information in the patient's words of from the patient's point of view.
Some of its data are stored electronically while the remainder is stored on paper. The hospital knows it will be several years before it will be able to implement an entire EHR system and go paperless.
A notation for a hypertensive patient in a physician ambulatory care progress notes reads: "Blood pressure adequately controlled." In which part of a problem-oriented health record progress note would this be written?
Information must be kept confidential, while data is meant to be shared.