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27.4.09
Patients with Chronic Conditions
For patients with chronic conditions, such as diabetesmellitus, it is often useful to have flow sheets thatallow the physician to record important clinical informationabout the patient’s management over longperiods of time. Flow sheets permit the physician tosee trends that enhance his or her ability to identifythe...
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4/27/2009 12:40:00 AM
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4. RECORD KEEPING FOR SPECIFIC TYPES OF ENCOUNTERS
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27.4.09
General Assessments
The general assessment is a comprehensive examinationconducted to establish a diagnosis, ascertain targetorgan involvement, and develop an investigativeand treatment plan for a specific medical condition.The physical examination should include all bodyparts and systems relevant to the condition at issue(e.g.,...
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4/27/2009 12:36:00 AM
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4. RECORD KEEPING FOR SPECIFIC TYPES OF ENCOUNTERS
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