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A Dietitian Is Documenting Information in a Patient's Chart

Question 59

Multiple Choice

A dietitian is documenting information in a patient's chart. She writes an asterisk and then explains the information further in the comments section of the chart. Which type of documentation format is the dietitian most likely using?


A) ​SOAP format
B) ​PIE notes
C) ​charting by exception
D) ​focus notes
E) ​ADIME format

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