Question

Check Your Understanding 2.1 Which of the following is an example that provides guidelines to ensure accurate and complete documentation? a. History and physical examination b. Admission form c. Medical director d. Federal and state statues 1. Continue

Answer 1

1. a. History and physical examination is the right answer : Itwill provide the complete and accurate information for documentation as it would contain all the data of asessment which includes the subjective and objective data. The data would collected from both primary nd secondary sources which would be organised and validated in a appropriate way which indeed helps in the proper documentation.

b. Admission form will not not have thorough patients history it may contain only baseline data

C. Medical director cannot provide the exact scenario of the patient

D. Federal and state statues would not provide