Question

Next, write a 100-word discussion post which describes how the documentation for the patient encounter is captured for vital signs, SOAP notes, and payments using the EHR

Answer 1

The Vitals Sign: The vital signs reflect some essential body functions. The vital signs play a key role in patient health and clinic outcomes.

The vital sign detect by medical expert or health care experts. These are the sign that can be used for preclinic evaluations.The first set of clinic evaluations is to detect the vital sign of the patient.

Vitals that are required for authenticate results of body conditions use:

1.Pulse rate (Heart Beat)

2.Respiration rate (Breathing Rate)

3.Body Temperature

4.Weight

5.Height

6.Blood Pressure (Blood Pressure is not considered as a vital sign but often is measured with all vital signs during the preclinic check.

SOAP notes acronym: S: Subjective, O: Objective, A: Assessment and, P: Plan. SOAP is a traditional and familiar process.

In SOP notes is an Electronic Media Records used by the providers to maintain various records of customers or patients. It helps the physician to record all complex data in a highly recorded form. It is well organized structurally and functionally, helps to reduce the confusion related to complex data understanding and arrangements while arranging the data of patients. It helps all the different physicians to know about the health or progress of a patient's health. Easy to understand and handle.

Payments using EHR: EHR: Electronic Health Record documentation in case of payment has become a flashpoint for controversy. Some times there have been allegations of fraud being made by health care counter or clinics. Using EHR documentation, it fulfills the three main objectives:

1.Better individual care.

2. Better population health.

3. Lower cost.

No two expertise advice and healthcare organization recommendation to patients are the same. There is the key principles that will be followed by and guide the clinicians towards effective and efficient electronic notes documentation.

Thanks and God Bless You

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