Examlex
The DSM will be available:
Narrative Charting
A method of documenting patient care in a story-like format, detailing care, events, and observations chronologically to provide a comprehensive view of the patient's condition and interventions.
Charting By Exception
A method of documentation in healthcare where only deviations from predefined norms are recorded, rather than detailing every observation.
Abnormal Findings
Results obtained from medical tests that are outside the typical range, indicating a potential health issue.
Electronic Health Records (EHR)
Digital version of patients' paper charts, it provides real-time, patient-centered records that make information available instantly and securely to authorized users.
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