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6 different types of medical documents - Okomeds

    https://www.okomeds.com/6-different-types-of-medical-documents/
    Medical documents are legal documents. They contain the information necessary for the correct care of patients and include information of a healthcare, preventive and social nature. We can differentiate between clinical and non-clinical …

5 Best Practices for Medical Documentation - Clinical Advisor

    https://www.clinicaladvisor.com/home/topics/practice-management-information-center/5-best-practices-medical-documentation/
    Document Your Examination. Failure to document a physical examination is the most …

10 Components Of a Medical Record? The Best Guide …

    https://digitalhealth.folio3.com/blog/10-components-of-a-medical-record/
    What Are The 10 Components Of A Medical Record? 1. Identification Information 2. Medical History 3. Medication Information 4. Family History 5. Treatment …

Documentation in Health Care - American …

    https://www.asha.org/Practice-Portal/Professional-Issues/Documentation-in-Health-Care/
    Documentation of clinical interactions should present the events of a session and patient/client interactions, the type of therapy (e.g., group/individual/co-treatment), the location of therapy (e.g., in …



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