Wiki PFSH should it be in the note or no?

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Donna Jean

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Should it be documented in the note or just in the patients EMR? My providers think that if its documented in an EMR tab that they do not need to document in the note.....I say if new patient needs a complete PFSH and if established patient then at least 1 of the three. Or they can refere to a prior PFSH and state it was reviewed from such and such date and note changes or whatever changes need to be documented. :confused:
 
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