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The most recent information is seen first in each section of the medical record. This method makes it complicated to identify and locate past medical problems, treatments, and results
Time-stamps on recodings
False
Source oriented medical record
True
Ease of use
Progress notes
Progress notes
Objective
POMR notes refer to
Time-stamps on recodings
False
Source oriented medical record
True
Ease of use
Progress notes
Progress notes
Objective
The following can be documented as part of the EMR
Time-stamps on recodings
False
Source oriented medical record
True
Ease of use
Progress notes
Progress notes
Objective
Electronic medical records are gaining popularity over conventional paper files because they offer
Time-stamps on recodings
False
Source oriented medical record
True
Ease of use
Progress notes
Progress notes
Objective
The “O” in SOAP notes is for
Time-stamps on recodings
False
Source oriented medical record
True
Ease of use
Progress notes
Progress notes
Objective
Having electronic information available is especially helpful for patients when they travel or need to seek emergency care with someone other than their primary care providers
Time-stamps on recodings
False
Source oriented medical record
True
Ease of use
Progress notes
Progress notes
Objective
Everything that is done during a patient’s medical visit, ordered over the telephone, or discussed with a patient by telephone or e-mail must not be documented in the medical record
Time-stamps on recodings
False
Source oriented medical record
True
Ease of use
Progress notes
Progress notes
Objective
SOAP notes refer to
Time-stamps on recodings
False
Source oriented medical record
True
Ease of use
Progress notes
Progress notes
Objective
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