: Look for the History & Physical (H&P), Consent for Treatment, and a complete Discharge Summary. Data Elements
: The specific element is not required for that particular patient scenario. Common Deficiencies Found in EHR Go Scenarios ehr go introduction to chart deficiencies answers
: In some versions, allergy information is missing, which is a critical safety deficiency. : Look for the History & Physical (H&P),
When a physician dictates a report but does not sign the transcribed version, this is known as a(n) ______ deficiency. Consent for Treatment
To complete the chart element checklist, you must categorize each item into one of four statuses: