Health Information and Coding
Health Information and Coding
Laterality, Site, and Specificity
Extract location and other documented details without supplying missing ones.
What to know
Laterality describes side. Anatomical site describes where on the body a condition or procedure is documented. A record may specify one without the other.
LESSONQuestion 1 of 4
Clinical scenario
A fictional note states “left distal radius fracture.” What is the laterality?
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Question ID tp-1321814f. Debug mode is active and email delivery is disabled. Leave personal and patient information out of notes.