The ________ section of the POMR contains information about physical examinations, the patient history, and the results of baseline laboratory or diagnostic procedures

a. database
b. problem list
c. treatment plan
d. progress notes

a

Health Professions

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Documenting deviations from established intervention protocols is an example of

A) Clarity B) Accuracy C) Relevance D) Exceptions

Health Professions

Volume I is used when:

a. an ICD-9-CM code is used but no surgical code is given. b. there is diagnosis language but no insurance provider. c. an ICD-9-CM code is used but no description of diagnosis is given. d. there is no code or provider listed.

Health Professions