Which term describes reviewing the patient record to inform decisions?

• A. A2121
• B. Health Information Exchange
• C. Patient record review
• D. Emergency room visit

Answer: (C)

Reviewing the patient record to inform decisions is patient record review. This is the process of systematically looking through existing documentation—previous assessments, diagnoses, medications, treatment notes, labs, and prior visits—to understand the patient’s history and current status so you can make informed care decisions and accurately plan and document care. It’s the act of using the chart itself to guide what you do next, rather than exchanging information with other providers or describing a specific encounter.

Health Information Exchange is about sharing records between different providers or organizations, not the act of reviewing the chart to inform your decisions. An emergency room visit describes a type of care encounter, not the process of reviewing records. A2121 is just a code or identifier and doesn’t describe the action of reviewing a record.