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 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. ...
I cannot make sense of this diagnosis. This is exactly what the doctor says. Any help would be appreciated. TIA. The word with may also be incorrect.
EXOSTOSIS MEDIAL MALLEOLUS WITH TALUS AFTER ANKLE REPLACEMENT ...
Hi -
Can't seem to find any mention of this in BOS3, but can someone tell me whether I should be using "GI" or "gastrointestinal" in a preoperative diagnosis? I seem to remember in school being told to leave GI as is when in the ROS but seem to be drawing a blank on this one! Thanks in advance!! ...
At the end of the report the doctor says Axis I -Adjustment disorder with anxiety, moderate in degree. Then he says "New paragraph, Psychogenic amnesia", then he says Axis II . Do I skip a line after Axis I, then write Psychogenic amnesia? How do I set that up? Please help, Thanks. ...