Medical record documentation requires all the following EXCEPT:

Question

Quizplus · Accepted Answer

Foster parent medical history is not necessary for the patient's medical record documentation. The medical record should only have relevant and accurate information about the patient's medical history, current medications, and physician examination results. Information about the patient's guardians or caretakers is not generally included, unless it is relevant to the patient's medical treatment.

Medical Record Documentation Requires All the Following EXCEPT