A Dietitian Is Documenting Information in a Patient's Chart

question 59

Multiple Choice

A dietitian is documenting information in a patient's chart. She writes an asterisk and then explains the information further in the comments section of the chart. Which type of documentation format is the dietitian most likely using?

• A) ​SOAP format
• B) ​PIE notes
• C) ​charting by exception
• D) ​focus notes
• E) ​ADIME format

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