A patient who previously smoked on a regular basis no longer smokes. What abbreviation represents the section of the medical record in which this information should be documented?

Prepare for the NHA Medical Administrative Assistant Certification Exam. Use flashcards and multiple choice questions, each with hints and explanations. Get exam-ready today!

The abbreviation that represents the section of the medical record where a patient's smoking history, including a history of regular smoking that has since ceased, should be documented is "PH," which stands for Past History. This section captures significant past medical information that can impact a patient's current health status and treatment decisions, including lifestyle choices such as smoking. Understanding a patient's past smoking habits is important for assessing risk factors for certain diseases, planning preventative care, and evaluating the effectiveness of cessation efforts.

In contrast, the abbreviation "CO" typically refers to "Chief Complaint," which addresses the primary reason for the patient's visit but does not encompass historical habits. "FH" stands for "Family History," documenting hereditary conditions and familial health issues rather than individual patient habits. Lastly, "DX" means "Diagnosis," which is concerned with identifying ailments rather than lifestyle histories. Therefore, the Past History section is the most appropriate place for this kind of information.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy