How might a novice confuse the following advance directives within the Patient Self-Determination Act when distinguishing information as administrative or clinical?
Here is my answer please tell me what you think....
administrative data includes demographic, socioeconomic, and financial information, which is gathered upon admission of the patient to the facility and documented on the inpatient face sheet (or admission/discharge record). The following reports comprise administrative data: Fact sheet, advanced directives, informed consent, birth/death certificate. I see how a person may view the advanced directives documentation as clinical.....because of the medical treatment information found in the directives. However, reading further in our text it states that clinical data includes all patient health information obtained throughout the treatment and care of the patient. Clinical data includes; discharge summary, history, physical examination, laboratory results, operative record, and radiology report.
I hope its right...submitted my answer already...still want your insight though...
What is the administrative data a doctor does not need to see? Also whjy do they not need to see it?
Your explanation is on the right track. A novice may confuse advance directives within the Patient Self-Determination Act when trying to distinguish information as administrative or clinical because advance directives contain both administrative and clinical components.
Advance directives, such as living wills and healthcare proxies, are legal documents that outline a person's healthcare wishes and designate a healthcare proxy to make decisions on their behalf if they become unable to do so. These directives may contain administrative information, such as the patient's name, date of birth, and contact information, which can be seen as administrative data.
However, advance directives also contain important clinical information related to medical treatment preferences, such as the use of life-sustaining treatments or do-not-resuscitate (DNR) orders. This clinical information is crucial for healthcare providers to understand and follow when providing care to the patient. Thus, some novice individuals may mistakenly consider the entire advance directive as clinical data.
To clarify, it's important to note that administrative data refers to non-clinical information related to the patient, such as personal details and financial information. On the other hand, clinical data includes all information directly related to the patient's healthcare, including diagnoses, treatments, test results, and medical history.
To avoid confusion, it is helpful to separate the administrative components of advance directives, such as personal details, from the clinical components, such as medical treatment preferences, when categorizing the information.