In addition to diagnostic and therapeutic orders from the attending physician, you would expect

Question

every completed inpatient health record to contain
A. standing orders. C. stop orders.
B. telephone orders. D. discharge order.

Answer 1

D Although many patient health records may feasibly contain all of the orders listed, only the
discharge order is required to document the formal release of a patient from the facility.
Absence of a discharge order would indicate that the patient left against medical advice and
this event should be thoroughly documented as well.