We’re learning that standard definitions aren’t being used regularly by providers. This list will help you – and reduce our need to send you a query.
The following Common Diagnoses definitions have been adopted by Salem Health for specific documentation purposes. Look for them on the Epic tab, upper screen in drop-down box under Standard Definitions.
Each definition gives a clear picture of what is needed for documentation in the medical record. As you use these definitions, your documentation will become more accurate.
Look for definitions for these conditions: