Just when I think I have our ONC Infusion Center under control, I'm asked a question that sends me into a brain fart. I hope you don't mind me asking this (probably a dumb) question:

When the infusion center is documenting infusions, they are using flowsheets to record info rather than documenting it in the progress note. When wanting to code the infusion, does all the info need to be recorded in the progress note or can/will gathering info from the flowsheets suffice? I can't find anything that states "everything must be documented in the progress note, flowsheets are not allowed for coding".

Does anyone know if there is documentation guidelines somewhere I can reference to to answer this question?

Thank you so much!