Answer Key - Worksheets - Content of the Patient Records ...
History 4. The chief complaint is documented on the: Provisional Diagnosis 5. The physician uses the above to establish the _____ diagnosis. Review of Systems 6. The physician's assessment of all body systems is called the: 30 days 7. According to the JCAHO, a physician's office history can be copied and placed on an inpatient record if it ... ................
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