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Chiropractic Doctor


Documentation 157

Clinical Documentation


2.0

  • Define the Problem Oriented Medical Record (POMR).
  • Demonstrate taking a complete patient history.
  • Define the Evaluation and Management examination for the musculoskeletal system.
  • Define Outcome Assessment.
  • Illustrate the P.A.R.T. format of documentation.
  • Define proper assessment for SOAP notes.
  • Discuss proper documentation of treatment performed on each visit.
  • Discuss proper documentation of treatment plans.

Gregg Friedman, DC

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