Punctured Bowel During Surgery
In May 2008 I had a 3cm tumor removed from my colon by the VA.
Categories: Mortgage Tags: after-the-1st, bowel, confirming-data, doctors-orders, insides, probably-doomed, records, remove-the-mesh, some-financial, surgeon, well-as-repair, wife
What MUST be included in medical documentation?
Back in the day I was a medic in the US Army and during my service I had probably written a couple thousand SOAP (a style of medical documentation) notes. One thing that I have heard many people say is “a medical record is a legal document, if you don’t write it down, it didn’t happen”. I have done a lot of research regarding the above statement on line, the public library, and the local law library