Asked by mariana moreno on May 16, 2024
Verified
In which section of the CHEDDAR format of documentation can the diagnosis be found?
A) Details of problems and complaints
B) Assessment
C) Examination
D) Chief complaint
E) History
CHEDDAR Format
A method of organizing medical records based on Chief Complaint, History, Examination, Details, Drugs and dosages, Assessment, and Return visit, facilitating comprehensive patient documentation.
Diagnosis
Recognizing the character of a disorder or problem by evaluating the signs.
- Acknowledging the role and configuration of diverse documentation frameworks, such as CHEDDAR and problem-oriented medical record systems.
Verified Answer
PV
Paulina VasquezMay 19, 2024
Final Answer :
B
Explanation :
The "Assessment" section of the CHEDDAR format of documentation is where the diagnosis is typically found, as this part summarizes the patient's condition and interprets the findings from the history, examination, and any tests conducted.
Learning Objectives
- Acknowledging the role and configuration of diverse documentation frameworks, such as CHEDDAR and problem-oriented medical record systems.
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