Key elements or words in the patient's hospital health record that identify the medical condition that was ultimately determined,after study,to have caused a patient's admission to the hospital is called the _____ diagnosis.

Question

Quizplus · Accepted Answer

The term "principal diagnosis" is commonly used in healthcare to refer to the medical condition that is ultimately determined to have caused a patient's admission to the hospital. This diagnosis is also sometimes referred to as the "primary diagnosis" or "leading diagnosis." However, "principal diagnosis" is the most commonly used term and is recognized by the Centers for Medicare and Medicaid Services (CMS) as the official term to describe the condition that is most responsible for a patient's hospitalization.

Key Elements or Words in the Patient's Hospital Health Record