Where would results of a urinalysis and blood tests be documented in a healthcare record?

Study for the RHIT Domain 1 Test with flashcards and multiple choice questions. Each question includes hints and explanations. Prepare effectively for your exam!

The results of a urinalysis and blood tests are documented in the laboratory findings section of a healthcare record. This section specifically includes data obtained from various laboratory tests, such as blood work and urinalysis, which provide critical information for diagnosing and monitoring a patient's health.

Laboratory findings encompass a wide range of test results, including hematology, chemistry, microbiology, and urinalysis. These tests are analyzed by a laboratory and the outcomes are recorded in the healthcare record for review by the healthcare team. This information is vital for ongoing patient care, guiding treatment plans, and making informed clinical decisions.

The other choices refer to different types of documents in healthcare records. An autopsy report pertains to the examination of a deceased individual to determine cause of death and is not related to living patients' test results. A pathology report focuses primarily on tissue specimens and diagnoses related to diseases, while a surgical report documents details of surgical procedures performed, including pre-operative and post-operative care, but not lab results. Therefore, laboratory findings is the most accurate and relevant choice for documenting urinalysis and blood test results.

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