A patient's diagnosis can be taken from a variety of sources within the medical record,such as:
A) on his or her patient information form
B) on laboratory test results
C) in the clinical notes
D) both b and c

Question

Quizplus · Accepted Answer

The patient's diagnosis can be taken from laboratory test results as well as from the clinical notes within the medical record. The patient information form may not necessarily contain the diagnosis, but it may contain important background information relevant to the diagnosis.

A Patient's Diagnosis Can Be Taken from a Variety of Sources