When reviewing a chart in EHR Go (such as those for or Jacy Redbird ), you must classify each element based on four specific statuses:
The item is present in the EHR and documented in the correct location or tab.
The element is not required for the specific patient's case (e.g., an operative report for a patient who did not have surgery). Common Deficiency Findings in EHR Go Activities ehr go introduction to chart deficiencies answers
The item is entirely missing from the chart or is not authenticated (e.g., a physician's order is present but not signed).
The item exists in the EHR but is in the wrong location (e.g., allergies listed in a nursing note instead of the Overview tab). When reviewing a chart in EHR Go (such
Often found to be Deficient in scenarios like Jacy Redbird's, where the report is missing or lacks clinical course details. Step-by-Step Completion Guide EHR Go Guide: The Notes Tab
A common area for Deficiency ; orders or discharge summaries may be drafted but lack the final electronic signature. The item exists in the EHR but is in the wrong location (e
The Progress Report is found under Download Work for the specific EHR session (see EHR Go Guide to Completing and Submitting Work) Module 13 - Introduction to Chart Deficiencies Flashcards
Often marked as Deficient if not explicitly uploaded or documented in the correct tab.