Sample Medical Records documentation

25. Symbols and Abbreviations- Practitioners will not use symbols and abbreviations in the medical record except those that HIM lists in the approved abbreviation list for the Hospital. (JCAHO IM 3.10 EOP #2) The approved abbreviation list can be accessed via the Summit Health intranet. (DOH 115.33 (c)) 26. Time Off Notification- ................
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