Question

How would the original phone message left by Mr. Lupez be documented in patient’s medical records?

Answer 1

The original phone message left by Mr. Lupez can be documented in

patient’s medical records through filling it in the Phone Encounter area in

the Clinical Care tab.

What is Medical record?

These are the details about a patient which contains vital information such

as the:

• Diagnoses

• Care

• Treatments

Phone calls are usually documented so as to ensure a complete and

accurate medical record. It is also done to take note of all clinically relevant

telephone calls.

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