Registered Health Information Administrator (RHIA) — Question 80

Which of the four distinct components of the problem-oriented record contains the medical and social history of the patient?

Answer options

• A. database.
• B. problem list.
• C. initial plan.
• D. progress notes.

Correct answer: A

Explanation

The correct answer is A, as the database component of the problem-oriented record is where comprehensive medical and social history is documented. The other options, such as the problem list, initial plan, and progress notes, do not contain the patient's history but rather focus on specific problems, treatment strategies, and updates on the patient's condition.