Question 100 · LDEK · Keeping records
The dentist after examining the patient, noted in the medical documentation following diagnosis: caries profunda, indicating which teeth in particular it concerned. Inspection of the documentation showed that such entry is:
- A. correct, because it contains the diagnosis.
- B. correct, because the Latin name is understandable for every dentist, who would familiarize with the documentation.
- C. incorrect, because it is not understandable for the patient.
- D. incorrect, because the diagnosis should have been written in Polish and coded in International Classification of Diseases (ICD -10).
- E. incorrect, because according to EU regulations, diagnosis should have been written in English and coded in International Classification of Diseases (ICD -10).
Hint
Recall the language and coding requirements for diagnoses in the regulation on medical records.
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