Sample Medical Records documentation
Under such circumstances the medical staff is to identify any high-risk patients that would require confirmation or endorsement of the H&P by a qualified surgeon. (JCAHO MS 2.10 Q&A Effective 12/22/00 Updated 8/5/02) 7. H&P Content Requirements-Chief complaint. (COP 482.24 (c) (2) (iii) History of present illness. Relevant past, social, family ... ................
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