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Healthcare Information Technology Exam Guide for CompTIA Healthcare IT Technician and HIT Pro Certifications by Brian Gugerty, Kathleen McCormick

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The Clinician Visit

Workflows vary, with some providers reviewing the health summary information, reason for visit, and vital signs prior to entering the examination room, or more commonly once they enter the examination room and start interacting with the patient. At this point, the provider in a traditional visit will obtain a history, perform an examination, review any additional values, develop an assessment, and formulate a plan. The intake method when using an EHR varies considerably. Many providers will document at least a portion of the encounter while in the room with the patient. This may be done through a mobile device such as a tablet or a fixed workstation. Some providers prefer to take physical or mental notes on paper during the ...

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