Which of the following is true in regard to a source record?
a. Interprofessional documentation is involved.
b. Content is organized by discipline.
c. It documents deviations from the norm.
d. It documents the source of the patient problem.
B
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A Interprofessional documentation occurs with a case management model of care.
B In a source record, the patient's chart is organized so that each discipline has a separate section.
C Documenting deviations from the norm is a characteristic of charting by exception.
D Documenting the source of the patient problem is part of PIE charting.
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