M5A2 "Documentation"

Discussion Board Topic – Documentation: You are the health information manager at a local hospital. A physician on the medical staff does not understand how to add H & P notes to a patient’s EHR. He explains that he “always used to handwrite the H & P”. You explain to the physician that he can no longer handwrite his notes and you give him two options of how he can add his notes to the EHR. Describe these two options.

Textbook information: Chapter 7, 8, & 9
– Textbook information
Foltz, Diane & Lankisch, K. Exploring Electronic Health Records. Paradigm Publishing. ISBN: 0978-0-76385-729-5

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