Patient Information is the data gathered, verbal or writing, which is documented to complete the healthcare documentation process. Things that are gathered include:
- Patient Demographics
- facts about the patient
- ex. name, address, phone number, gender, date of birth, ethnicity
- Personal information
- ex: living situaion, diet, activites
- Medical information
- ex: changes in health or activities of daily living (ADL)
Gathering Patient Information begins when the patient first make an appointment.
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