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Wiki Adequate Family History?

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T

thelton

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Local Chapter Officer
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Location
Farmington, AR
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I need opinions from auditors....would you give credit in the family hisotry for the following statement: No relevant family history. Patient is a 4 week old infant with fever and vomiting. Let me know what you think....I don't want to send my docs in the wrong direction! Thanks!!
 
I would not credit such a statement. Especially for such a young newborn. The course of pregnancy would be relevant. Something like: Mother states prenancy was uneventful. Question of siblings health would also be relevant. At the very least the physician needs to be stating that the family hx was "reviewed" , not just that it's negative.
That's this auditors 2 cents.
 
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