In the computerization of forms good screen view

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In the computerization of forms, good screen-view design, along with the options of alerts and alarms, makes it easier to ensure that all essential data items have been captured. One essential item to be captured on the physical exam is thegeneral appearance as assessed by the physician.family history as related by the patient.subjective review of systems.chief complaint.
CORRECTThe medical history (including chief complaint, history of present illness, past medical history, personal history, family history, and a review of systems) is provided by the patient or the most knowledgeable available source. The physical examination adds objective data to the subjective data provided by the patient. This exam begins with the physician's objective assessment of the patient's general condition.In addition to diagnostic and therapeutic orders from the attending physician, you would expect every completed inpatient health record to contain
In your acute care facility it has become critical that up-to-date information regarding patients who are transferred to the oncology patient care unit be immediately sent to an outpatient scheduling system to facilitate outpatient appointments. This transfer of service can be obtained most readily from
CORRECTFor tracking in-house patients who have been transferred to a specialty unit, the best source of information is the registration-admission, discharge, and transfer system.For continuity of care, ambulatory care providers are more likely than providers of acute care services to rely on the documentation found in the

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