A dietitian is documenting information in a patient's chart. She writes an asterisk and then explains the information further in the comments section of the chart. Which type of documentation format is the dietitian most likely using?
A) SOAP format
B) PIE notes
C) charting by exception
D) focus notes
E) ADIME format

Question

A dietitian is documenting information in a patient's chart. She writes an asterisk and then explains the information further in the comments section of the chart. Which type of documentation format is the dietitian most likely using?
A) ​SOAP format
B) ​PIE notes
C) ​charting by exception
D) ​focus notes
E) ​ADIME format

Quizplus · Accepted Answer

Charting by exception is a documentation format that uses an asterisk (*) to indicate that a particular parameter is within normal limits. The dietitian is most likely using this format because she has written an asterisk and then explained the information further in the comments section of the chart.

A Dietitian Is Documenting Information in a Patient's Chart