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delta, or change in diagnosis

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Q: What does triangle symbol next to diagnosis mean in medical notes?
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What is the triangle symbol in medical notes?

diagnosis


Is an individuals first and last name and the medical diagnosis in a physician's progress notes considered PHI?

yes


What are 4 items that are found in the medical records?

Some things are..... Patient's demographics. Diagnosis. Treatment. Previous history. Doctors Notes.


Who is the person responsible for documenting the patients clinical notes and designing a diagnosis code and a procedure code for medical services?

insurance biller


Can a nurse downgrade a pressure sore?

In nursing notes and nursing reports, a nurse can assign the level of degree and report her findings to the physician. But a nurse cannot diagnose or assign a diagnosis for medical reimbursement. So therefore, the answer is yes IF it pertains to nursing measures. But the answer is no for medical diagnosis.


What has the author John Herr Musser written?

John Herr Musser has written: 'Notes on thirteen cases of tubercular meningitis' -- subject(s): Meninges, Tuberculosis 'Tuberculous ulcer of the stomach' -- subject(s): Stomach, Ulcers 'A practical treatise on medical diagnosis for students and physicians' -- subject(s): Diagnosis 'A practical treatise on medical diagnosis for students and physicians' -- subject(s): Diagnosis 'A handbook of practical treatment' -- subject(s): Medicine, Practice, Therapeutics


What is the difference between a medical records Technician and a medical coder?

The medical records tech works in the medical records dept and pulls and files the records. A medical coder reviews doctor's notes and other records and translates them into numerical diagnosis and procedure codes, usually for the purpose of billing insurance companies. A coder is a much more trained individual.


What is the difference between general medical records and psychiatric notes?

General medical records typically document physical health conditions, treatments, and medications, while psychiatric notes focus on mental health assessments, diagnoses, treatment plans, and therapy progress. Psychiatric notes also include information about a patient's emotional well-being, cognitive functioning, and any psychiatric medications prescribed.


What is a staff symbol?

A staff symbol represents the notes to play. For example:treble clef is higher then bass clef.


What does summary mean on medical notes?

Summary on medical notes means the same thing as in lay language. Summary is a recap of the contents in fewer words.


What is personal symbol?

A personal symbol is a symbol in which retells a special moment or represents something that someone admires; basically a memory. (Photos, Notes, Mementos).


What is a personal symbol?

A personal symbol is a symbol in which retells a special moment or represents something that someone admires; basically a memory. (Photos, Notes, Mementos).