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"Most likely" in any writing, not just in medical records, means simply "more likely than not".

"Patient most likely has viral pneumonia rather than the common cold."

or

"Patient more likely than not has viral pneumonia rather than a common cold."

However, "most likely" or "more likely than not" are not usual phrases in medical charting. The context is important; i.e. what was the subject and how was the sentence written?

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15y ago

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