AHIMA Professional Practice Experience Workbook

EX #

LOGID

MRN

Patient

Requester Type Dates of Service

Records Disclosed*

Reason

Correspondence Letter

Comments

001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 018 019 020

*Records requested/disclosed legend : ALL – entire record

Other – nurses notes, flowsheets, graphic charts, discharge instructions

ANES – anesthesia record DS – discharge summary ER – emergency room record HP – history & physical LAB – laboratory report EKG – EKG report

PATH – pathology report PN – progress notes PO – physicians orders RAD – radiology report RT – respiratory therapy

US – ultrasound

OP – operative report

XR – x-ray, imaging, radiology

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