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Phr|2023 Latest Update|Guaranteed Success
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documentation critical to patient care p/h past medical history present condition cc uchd usual childhood disease pi present illness general information who is the patient? put on record age demographics occupataion med history chief complaint ... treatment plan TX: service provided radiology lab reports response to care evaluation instructions for pateint to follow ns no show ama against medical advice standard for records evidence of appropriate care complete accurate documentation responsibility to patient and physician other uses of records 1. patient education 2. test results+ health issues+treatment instructions research
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