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Wiki Amount and/or complexity of data to be reviewed

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mcandia

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Under review and / or order of clinical lab test (and test in the radiology section) does this apply to only labs that were ordered at the time of the encounter and / or then reviewed during the same visit?

If labs or Xrays were done at the previous visit and the patient is brought back to go over the results at a later visit do we count them under old records reviewed or under this?

Thanks,
Maria
 
And/or

By definition "and/or" means that you did both (and) -or- that you did one or the other.

So, whether they were:
A) just ordered, or
B) they were ordered, performed and reviewed, or
C) results of previously ordered tests were reviewed
I count them as data points under the "review and/or order of clinical lab tests" (or radiological or medical tests, as per the note).

F Tessa Bartels, CPC, CEMC
 
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