Is health record the primary source document used in quality assesssment monitoring is?

No, the primary source document used in quality assessment monitoring is not the health record.

The primary source document in quality assessment monitoring is the patient experience survey.

The health record contains data that can be useful for quality assessment monitoring, but it is not the primary source document because the individual completing the health record may not be responsible for providing care to the patient on whose health record he is reporting, making his report a secondary source rather than a primary source.