Observation documentation: Difference between revisions
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Revision as of 14:44, 5 April 2017
OBSERVATION REPORT The family history of @NAME@ is noncontributory. @NAME@ first seen as document in the chart. Observation began at (time) and was necessary in order to determine (name the rule-out/treatment/diagnosis/mgmt decision). Upon re-evaluation, observation revealed that @NAME@ could be discharged and patient discharged at (time). Total time of observation = (xxx) hours.