In addition to diagnostic and therapeutic orders from the attending physician, you would expect every completed inpatient health record to contain

Question

Quizplus · Accepted Answer

While standing orders and telephone orders may be included in the health record, they are not required for every completed inpatient health record. Stop orders may only appear if orders were discontinued or altered during the patient's stay. However, a completed inpatient health record must include a discharge order to indicate that the patient has been officially released from the facility.

In Addition to Diagnostic and Therapeutic Orders from the Attending