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What activities are included under Assessment?

Last Updated: May 13, 2016 04:14PM EDT
Under Assessment, the user organizes the key findings per history and physical exam (i.e., the problem list) and begins the diagnostic-reasoning steps leading to diagnosis. These steps include the following:
  •  Designation of the most significant active problem (MSAP)
  •  Designation the relation of the other problems to the MSAP
  •  Selection of diagnostic hypotheses (i.e., construction of the differential diagnosis)
  •  Ranking of diagnostic hypotheses
  •  Testing of hypotheses (selection of diagnostic tests)
  •  Review of test results
  •  Determination of diagnosis

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