Author Question: A patient's record contains the following order: Mary Black is stable and has no complaint of pain. ... (Read 45 times)

abern · **on:** Jul 12, 2018

A patient's record contains the following order: Mary Black is stable and has no complaint of pain. Wound is healing. No fever or chills. No medications given and no restrictions. She can be released home in the morning. To be seen in my office in two weeks. This is an example of a:
A) discharge order
B) routine order
C) stop order
D) transfer order

Question 2

Dr. Smith enters the following information as part of a progress note: 2/3/YYYY. Patient complains of right upper abdominal pain of four days' duration. This information represents the:
A) chief complaint
B) history of present illness
C) interval history
D) physical examination