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Phase of Encounter (01_Codes) (Initial Assessment (02_Assessment) (level…
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need to do some type of checklist for each test:
was it requested?
rationale to client? (yes/no does not determine next step)
test received? - it would be nice to carry this info to review branch.
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this is the same list of tests for each case, shown above. For each test ordered (e.g. CBC), we need to note the following:
- was a rationale provided to the interviewer
- the approach used to interpreting the test (systematic, generic, etc)
- for each grouping of results (major, fair, minor), need to check off things that were perceived
- for each item that was perceived, need to note if the interpretation was correct AND the type of knowledge used
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see list of interpretation items, above
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this is the only way I could figure out to bring up different lists of diagnostic tests for different patients
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