The documentation of each patient encounter should include which of the following?

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All of these components are important in documenting a patient encounter to ensure accurate medical record keeping and continuity of care. The date of the encounter is important for tracking progress and ensuring timely follow-up. The reason for the encounter should always be documented to provide context for the encounter. The appropriate history and physical exam findings related to the chief complaint are critical in establishing an accurate diagnosis and plan of care. Finally, a clear plan of care should be documented to ensure that all providers involved in the patient's care are aware of the treatment plan and any necessary follow-up or referrals.

The Documentation of Each Patient Encounter Should Include Which of the Following