One of the most important goals of documentation in the medical record is:
A) to be clear and concise.
B) to follow ADA format.
C) to develop a new method of charting.
D) to use medical abbreviations.
E) to demonstrate knowledge of medicine and dietetics.

Question

One of the most important goals of documentation in the medical record is:​
A) ​to be clear and concise.
B) ​to follow ADA format.
C) ​to develop a new method of charting.
D) ​to use medical abbreviations.
E) ​to demonstrate knowledge of medicine and dietetics.

Quizplus · Accepted Answer

The goal of documentation in the medical record is to be clear and concise, meaning that the information should be accurate, complete, and easy to understand for all healthcare professionals involved in the patient's care. This is essential for effective communication and continuity of care. Following ADA format, developing a new method of charting, and using medical abbreviations may be useful, but they are not the most important goals of documentation in the medical record. Demonstrating knowledge of medicine and dietetics may also be important, but it is not the primary goal of documentation in the medical record.

One of the Most Important Goals of Documentation in the Medical