solved Under the Modules tab, read Examples of Phrases Used in

Under the Modules tab, read Examples of Phrases Used in the Medical Record and case studies.  Review the Medical Record Examples and case studies posted and provide thoughts and comments on how the information in the phrases and elements of the medical record work together to provide a complete picture of the patient being discussed.  You may want to review Chapter 2 in your book to help you in this discussion.
Student #1:
Medical Record Example #1
This medical record is very specific in the information provided for the patients past, current and future plan is included. If the medical record is not precise, it can be detrimental for a complete evaluation of the patient. The health provider included SOAP guidelines in the medical history. Using the subjective part by describing how the patient has personally described his problem with chest pains for approximately 25 seconds and then a dull pain following it for three minutes. By collecting objective data like the patients lab findings, physical exam and image studies, the doctor finds that the patient has an enlarged heart, increased pulmonary vascular congestion, hypertension, and shortness of breath. By collecting this data, the doctor makes a logical analysis. These assessment’s are made into a list of identifications of a problem. The doctor then formulated a plan of action for the patient. The doctor wants to admit the patient into cardiology unit and perform an array of tests and more chest x-rays along with medicine they recommend for the patient. When the SOAP guidelines are included, like they were for this patient it protects health care providers and also sets the patient up for the best care possible. Using correct terms and phrases are important as well. Clearly communicating so every physician can understand what is going on.
Student 2:
The format of the case follows the SOAP methodology when describing their patient. It begins with the subject, describing the patient, their problem, and their history, then the objective like data from their physical, laboratory, and imaging. Afterward, the health care provider assesses the problem and the data to find the problem and finally the plan when the healthcare provider plans out what they can do to treat the patient.
While looking over the medical terminology case studies, I noticed how each medical terminology is used to diagnose a patient. In the beginning, some of the medical terminologies have an abbreviation next to it in which, only the abbreviation will be used to describe the problem that the patient has later. This shows their understanding of how each term would be used later in the case. Using the terminology and abbreviation throughout each sentence helps illustrate the problem the patient is going through, which will help medical providers diagnose the patient and plan out what they can do for the treatment as well as make it an easier task to read and write without having to write out the entire