The diagnosis that documents the condition or disease for which the patient is seeking treatment is the:
A) discharge diagnosis
B) final diagnosis
C) provisional diagnosis
D) preoperative diagnosis
Question 2
Which statement regarding the patient record is true?
A) All entries must be legible and complete.
B) An alias cannot be used in a patient record.
C) Only the front page of a two-page document must contain patient identification.
D) The author of each entry does not have to sign the note if another supervising professional has signed it.
European Rabbit in Shropshire, England, infected with myxomatosis, a disease caused by the Myxoma vi
Diphtheria. The bacteria that cause this disease, called Corynebacterium diphtheriae, proliferate in
Example of a patient’s ledger in practice management software.
After multiple injections of a local anesthetic, the patient developed herpetic lesions.
Gingival enlargement in a patient taking phenytoin.