Exercise 18 Linking Diagnoses with Clinical Documentation: MPI: ROI8460786 (Angela Matthews) Instructions: Accessthe Edco Solcom application. In this exercise, you will review the record, identify diagnoses, physician orders and corresponding treatment. For injuries, document the place and nature of the injury. For surgical cases, review for surgical consent, and participation of anesthesiologist. Exercise #: 18 Patient Name: MPI: Patient Type: Chief Complaint or Reason for Admission:
Injury? If yes, describe type of injury, place of occurrence, and whether this is initial or follow-up treatment:
Diagnosis: *Using postoperative diagnosis (no DS provided) and Face Sheet for Reference 1. 2. 3. 4. 5. 6.
Link to Dx #
Physician Orders:
Status:
1. 2. 3. 4. 5. 6.
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