Essentials Health Info Management Principles/Practices
4th Edition
ISBN:9780357191651
Author:Bowie
Publisher:Bowie
Chapter10: Introduction To Coding And Reimbursement
Section10.1: Clinical Classification Systems
Problem 3E
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Question
This patient's records indicate an allergy to penicillin. During his hospitalization the consulting surgeon orders preoperative medications, including Bicillin L-A, as dictated on the preoperative H&P. As a healthcare documentation specialist, what action should be taken when this dictation is heard and transcribed?
Expert Solution
Step 1
Penicillin allergy is an abnormal physical reaction of the immune system towards the drug penicillin antibiotic drug.Penicillin is given for different bacterial infections.Common signs and symptoms noted are rashes,hives and itching.
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What action was taken when dictation is heard
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