Transcription of Extent of Examination Performed Reference Sheet
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Extent of Examination Performed Reference Sheet
Extent of Examination Performed Reference Sheet LEVEL OF EXAM PERFORM AND DOCUMENT: No exam level assigned No exam Performed Problem focused One to five elements identified by a bullet Expanded problem focused At least six elements identified by a bullet Detailed At least two elements identified by a bullet from each of six areas/systems or at least twelve elements identified by a bullet in two or more areas/systems Comprehensive Perform all elements identified by a bullet in at least nine organ systems or body areas. For each area/system, documentation of at least two elements identified by a bullet is expected. Organ System/Body Area Elements of Examination When a general description appears in both body area and organ system COUNT ONLY. ONCE*. Constitutional Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure, 2) supine blood pressure, 3) pulse rate and regularity, 4) respiration, 5).
Extent of Examination Performed Reference Sheet LEVEL OF EXAM PERFORM AND DOCUMENT: No exam level assigned No exam performed Problem focused One to five elements identified by a bullet
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