Medical Documentation: Essential Best Practices – Class Notes & E-book

Class Content Notes
Guide to Interactive E-books: Read this first! Guide
Slideshow: Medical Documentation: Essential Best Practices View Slides
Appendix 1: Comparison of Paper vs. EHR Systems View Notes
Appendix 2: Patient Release and Records Transfer View Notes
Sample History of Present Illness/initial visit note View Notes
Sample follow-up visit progress or "SOAP" note View Notes
Basic Chart Note Review View Notes
Advanced Chart Note Review Checklist View Notes