![]() |
Criado por Robin Decker
quase 6 anos atrás
|
|
Documenation
Reasons to Document
Medical Record & Notes
Medical Record & Notes
continued...
"S" = Subjective
"S" = Subjective
continued...
"O" = Objective
What went on during treatment.
Chronologically if necessary.
"O" = Objective
continued...
"O" = Objective
COMMON MISTAKES
"A" = Assessment
"A" = Assessment
continued...
"P" = Plan
Functional Maintenance Program
Informed Consent
Medical Necessity
Negative Prognostic Indicators
Positive Prognostic Indicators
Restorative Programs
Screening
Standardized Assessments