Recording information in the medical record is called ____.
A) transcription
B) description
C) dictation
D) filing
E) documentation
Correct Answer:
Verified
Q31: The reason a patient's record should not
Q32: The A section of SOAP documentation includes
Q33: Internal audits are done
A) by agencies from
Q34: Subjective or internal conditions felt by the
Q35: The S section of SOAP documentation is
Q37: The P section of SOAP documentation is
Q38: The appropriate way to delete information on
Q39: In legal terms, medical records regarded as
Q40: All information should be entered in the
Q41: The patient _ form contains legal, financial,
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