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

Asked by: Oral Huels DVM  |  Last update: May 7, 2025
Score: 4.9/5 (34 votes)

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.

Which information item is not included on the patient information form?

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's registration form?

Which of the following would NOT be included on a Patient Information Form? Patient's annual household income.

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.

What does a patient information form contain?

It must be completed by a qualified healthcare professional and the patient must present a valid government ID with a signature. The form includes sections for personal information, medical history, and a detailed physical examination.

Integrated Patient Information Form

40 related questions found

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.

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.

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.

What does a PHI include?

What is PHI? Protected health information (PHI) is any information in the medical record or designated record set that can be used to identify an individual and that was created, used, or disclosed in the course of providing a health care service such as diagnosis or treatment.

What records contain PHI?

Sensitive PII
  • Unique identification numbers, such as driver's license numbers, social security numbers (SSN), passport numbers and other government-issued ID numbers.
  • Biometric data, such as fingerprints and retinal scans.
  • Financial information, including bank account numbers and credit card numbers.
  • Medical records.

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.

Which of the following would not be included on a patient information form: allergies, medication names, and dosages, patient's annual household income, family history?

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.

Which is not a component of the patient registration form quizlet?

Which of the following is NOT a component of registering a new patient? Taking the patient's vital signs.

Which of the following is not considered a part of the patient identification?

Acceptable identifiers may be the individual's name, an assigned identification number, telephone number, date of birth or other person-specific identifier." Use of a room number would NOT be considered an example of a unique patient identifier.

What does patient account information include?

Patient accounting deals specifically with each individual patient. This includes the services they received, medicines and other items used in their care, and the bills generated. It also includes tracking payments from patients, insurance companies, and third parties like charities.

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?

Final answer: In the context of Protected Health Information (PHI), height and weight are typically not considered PHI on their own. In contrast, birth dates, social security numbers, and medical record numbers are protected under HIPAA. Thus, the correct answer is height and weight.

What is excluded from PHI?

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.

What is included in a PHI authorization form?

The name(s) or other specific identification of person(s) or class of persons authorized to make the requested use or disclosure. The name(s) or other specific identification of the person(s) or class of persons who may use the PHI or to whom the covered entity may make the requested disclosure.

What data is not PHI?

Just as identifiers turn data into PHI for covered entities and business associates, without an identifier, information might not be considered PHI. When a medical record has all identifiers removed, such as names, phone numbers, serial numbers, and physical addresses, it's not considered PHI.

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.

What is included in PHI information?

Protected health information (PHI) is the demographic information, medical histories, laboratory results, physical and electronic health records, mental health records, insurance information, and other data that a medical professional collects to identify an individual and determine appropriate care.

What is on a patient information form?

The patient information form should include fields for capturing personal details (such as name, address, and contact information), medical history, current medications, allergies, insurance information, and emergency contact details.

What does an information sheet include?

The information sheet should give a brief summary of the research project and its aims, clearly outlining the entire research process in a language accessible for a non-expert audience. It should also outline what participation means in practice; how long participation takes, where it takes place and what it involves.

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.