Procedure Reports and Documented Actions

Extract procedure type, anatomical site, and completion status.

What to know

Procedure documentation distinguishes an intended action from what was actually done. Read the verb, body site, and any statement that an action was stopped or modified.

LESSONQuestion 1 of 4

Clinical scenario

A fictional operative report says “biopsy of left forearm lesion.” What action is documented?

Report this question

Question ID tp-ec1f619f. Debug mode is active and email delivery is disabled. Leave personal and patient information out of notes.