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Tracing Refers to Looking at the Supporting Documentation for a Recorded

question 68

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Tracing refers to looking at the supporting documentation for a recorded number.


Definitions:

Anesthesiology Report

A document detailing the anesthesia administered during a surgical procedure, including drugs, doses, and patient response.

Pathology Report

A document produced by a pathologist detailing the diagnosis determined from the examination of cells and tissues.

Physical Therapy Report

A document summarizing the assessment, treatment plan, and progress of a patient undergoing physical therapy.

Objective Information

Information that is fact-based, measurable, and observable, unaffected by personal feelings or opinions.

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