Which information item is not included on the patient information?

Asked by: Milan Donnelly  |  Last update: May 15, 2025
Score: 4.5/5 (20 votes)

Final answer: The item not commonly included on initial patient information forms is the Summary of medical history. Basic identification details, contact information, and the name of a relative or spouse are typically requested. Medical history details are usually gathered separately during the consultation.

Which of the following would not be included on a patient information form?

The purpose of this form is to gather essential information that helps healthcare providers understand the patient's health history and provide appropriate care. Out of the options given, the one that would NOT be included on a Patient Information Form is the patient's annual household income.

What information is not included in a patient's medical record?

Blame of others or self-doubt, Legal information such as narratives provided to your professional liability carrier or correspondence with your defense attorney, Unprofessional or personal comments about the patient, or. Derogatory comments about colleagues or their treatment of the patient.

What is included in patient information?

Health information is the data related to a person's medical history, including symptoms, diagnoses, procedures, and outcomes. A health record includes information such as: a patient's history, lab results, X-rays, clinical information, demographic information, and notes.

Which of the following is not included in patient phi information?

What is not considered PHI? Identifying information, such as personal names, residential addresses, or phone numbers, is not considered PHI unless it is related to health data. For instance, names, addresses, and phone numbers listed in a phone book is not considered PHI because it is not related to heath data.

Obtain and Document Patient Information

17 related questions found

What should not contain PHI?

For example, employment records of a covered entity that are not linked to medical records. Similarly, health data that is not shared with a covered entity or is personally identifiable doesn't count as PHI. For example, heart rate readings or blood sugar level readings without PII.

Which of the following items does not contain PHI quizlet?

The item that does not contain Protected Health Information (PHI) is an informational pamphlet, since it is a general healthcare document and not specific to an individual. The item that does NOT contain Protected Health Information (PHI) is C. Informational pamphlet.

Which information item is not included on a patient information sheet that new patients are required to complete?

Final answer: The item not commonly included on initial patient information forms is the Summary of medical history. Basic identification details, contact information, and the name of a relative or spouse are typically requested. Medical history details are usually gathered separately during the consultation.

What is not considered PHI under HIPAA?

When a medical record has all identifiers removed, such as names, phone numbers, serial numbers, and physical addresses, it's not considered PHI. Covered entities and business associates can share these unidentified records under HIPAA.

What information is not to be stored in a personal health record (PHR)?

Information that a patient requests not to be shared, have paid for out-of-pocket, or other sensitive non-health related data, such as direct financial details or personal identification numbers, should not be stored in a Personal Health Record (PHR) as per HIPAA laws.

Which of the following is not included on the patient's medical history?

The item not typically included in a patient's medical history is c) Income level. A medical history is a record that includes vital health-related information such as allergies (a), immunizations (b), and major childhood illnesses (d), but it does not standardly contain details about a patient's income level.

What is included in a patient information sheet?

The leaflet should tell the reader what they can expect, perhaps by answering most commonly asked questions. It should also give information about: Possible treatment or care outcomes and should be stated in a clear and understandable way.

Which is not considered medical information?

However, “medical information” does not include a consumer's age or sex, or demographic information such as a consumer's residence or e-mail address, or any other information “that does not relate to the physical, mental, or behavioral health or condition of a consumer, including the existence or value of any insurance ...

Which item is usually not included in a patient's medical record?

Outpatient treatment is not included in a patient's medical record from a recent overnight hospital stay because it refers to care received outside the hospital setting. Medical records typically consist of the radiology report, physician orders, and discharge summaries specifically related to the hospital stay.

What is not included in personal health information?

Examples of Non-PHI

A dataset of hospital visits without any personal identifiers like names, addresses, or Social Security numbers is considered non-PHI. A vaccination record that a university maintains for its students comes under FERPA protection, so it's not considered PHI under HIPAA.

What does HIPAA not include?

Employment Records: Employment records held by a covered entity in its role as an employer are exempt from HIPAA. This includes employment-related information that the covered entity maintains in its human resources department.

Which of the following is not a patient's right under HIPAA?

Things that are not a patient's right under HIPAA: Access to Non-Medical Information: Patients do not have the right to obtain non-medical information like employment records or education records.

What information is not protected by HIPAA?

The Privacy Rule excludes from protected health information employment records that a covered entity maintains in its capacity as an employer and education and certain other records subject to, or defined in, the Family Educational Rights and Privacy Act, 20 U.S.C. §1232g. De-Identified Health Information.

What type of information is included on a patient day sheet?

A medical day sheet includes patient details and lists medications prescribed as part of the treatment regimen. The purpose of a medical day sheet is to ensure that all relevant information about the patient is easily accessible by caregivers or other professionals who are involved in the patient's care.

What information is included in the patient information record?

The main components of a medical record include patient identification details, medical history, current and past medication, treatment records, lab results, diagnostic reports, notes on progress, immunization records, billing information, etc.

What is included in patient confidential information?

All patient information is considered confidential and sensitive. This includes patient demographic, registration, financial, and clinical information. Hospital policies and procedures, and state and federal statutes protect the internal use and external disclosure of patient information.

Which of the following is not included in PHI: the fact that a person is deceased, the person's education level, the person's name, the person's telephone number?

A patient's name alone is not considered PHI.

Which of the following is not covered by HIPAA?

Individuals, businesses, or service providers who do not transmit patient health data electronically or do not qualify as healthcare providers, healthcare plans, or healthcare clearinghouses are not HIPAA-covered entities.

What does PHI exclude?

PHI excludes health information that is de-identified according to specific standards. Health information that is de-identified can be used and disclosed by a covered entity, including a researcher who is a covered entity, without Authorization or any other permission specified in the Privacy Rule.