Steps to ensure accuracy of the medical record include the use of standard language and medical abbreviations.
Correct Answer:
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Q48: Clients frequently request copies of their medical
Q49: The POMR is divided into five parts:
Q50: The _ is defined as "an application
Q51: _ include patient information or data collected
Q52: The driving forces that impact medical record
Q54: Clear, concise wording in the medical record,
Q55: The data portion of the problem-oriented medical
Q56: A record of an individual's care that
Q57: A record of an individual's health care
Q58: Subject matter refers to the personality or
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