Data obtained from charts and documents are used for diagnosing and assessing a patient's condition.
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Q7: When documenting in the medical record, do
Q8: Select the most clear and concise sentence.
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Q9: Select the most clear and concise sentence.
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Q10: Select the most clear and concise sentence.
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Q11: Select the most clear and concise sentence.
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Q13: The acronym PIE, pertaining to a charting
Q14: The medical record is never used for
Q15: A history of subjective data told to
Q16: SOAP notes contain an intervention plan and
Q17: An example of subjective information is the
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