Reports may be handwritten or electronic and recognized by which title?

• A. All of the above
• B. Official report
• C. Medical record
• D. Patient note

Answer: (A)

Reports can exist in multiple forms and carry different labels depending on their use. An official report is a formal document shared for external or regulatory purposes. A medical record is the complete compilation of a patient’s health information, and within it you’ll find many individual reports and notes. A patient note is a clinician’s entry within the medical record that documents assessment, plan, or observations. Reports may be handwritten or electronic, and all of these labels can apply in the appropriate context, so all of the above is the correct choice.