Can someone tell me the correct way to type the Axis I through Axis V diagnoses part of an eval/progress note? I need to know the spacing, tabbing and punctuation. For example:
Axis I: 315.00 Reading disorder
Axis II: V71.09 No diagnosis on
Axis III:
Axis IV: &nbs ...
My question is about headings. Is it principle diagnosis or principal diagnosis? I have typed it "principle" for 10 years. The person doing our QA says it is principal. Has this changed?
thanks ...
I cannot find anything to tell me whether it is axis or axes. I believe its axis, but just not sure. The sentence reads.
The corneal limbus was marked for 35 degrees superiorly and inferiorly along the 075-degree axis.
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I'm typing an op report for a shoulder mass excision, and I'm not sure which word the doc is saying...
The planned oblique skin incision along the longitudinal axis (or access?) of the mass was sterilely infiltrated with 1% Carbocaine solution and the skin incision made.
I'm assuming axis, but not 100% confident.
Thanks! ...
says, "eighteen slash ten slash three four," and I am not sure how to transcribe the last part. I am a long-time transcriptionist but have never heard the measurements given that way, so any help from you cardiology gurus would be much appreciated. Thanks. ...
"The resected surfaces are coapted, and 0 degree mechanical axis has been achieved."
This is a knee replacement, and he says this twice. Do you think he is saying axis or access? thanks! ...
is it six o'clock axis or 6 o'clock axis and then what is the correct way of 6:30 o'clock axis or six-thirty o'clock axis or is it 6:30 axis or six-thirty axis????? Whew!!! ...
Greetings, I recently got a gig for Psychiatric clinic and I am a little confused as to the accepted formatting for DSM diagnoses under AXIS I... Here is what I have been doing, and it's different from examples I've seen online... I'm thinking I learned my current style from either CareerStep or working for Nuance; however, I'm not sure... My clinic doesn't really have any concrete formatting guidelines, but I want to be using best practices nonetheless. &nbs ...
Mental status review, axis I diagnosis sounds like "frontal auget disorder, mild" or "formal augete disorder, mild?" I could be way off but that is what it sounds like??? Any help??? Thanks!
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Eye exam - pt has a large s/l tha ridge an encroaching upon the visual axis of the left side.
This will be repaired by s/l bicuspid allister technique...? ...
I don't know if I am just not thinking straight or if there is reason I cannot find these. Under diagnoses, doc says the pt has ARA(?), DM, car-pul-mon-ali, P slash atrial fibrillation....
Seriously, I cannot find ARA, no sign of carpulmonali, or P/atrial fibillation. Any ideas at all? I am going to continue to think and search. TIA for any help! ...
Urogenital Distress Inventory is the urologic term I know but this is listed as a diagnosis and has to be written out naturally. Anyone know it? Thanks. ...