Recordkeeping and contact lens practice.
Recordkeeping in contact lens practice may be based on a problem-oriented system that emphasizes the use of forms. Fitting agreements and informed consent agreements are the most important components of such a system. Progress notes are also used to document the episodic care that is an integral part of contact lens practice. Examination findings should be described with descriptive language whenever possible; warnings, diagnoses, patient management, and recall and referral appointments should be conscientiously documented in the record of care.
Classé
J G
JG
School of Optometry/Medical Center, University of Alabama at Birmingham.
D003261:Contact Lenses; D005568:Forms and Records Control; D006801:Humans; D007258:Informed Consent; D008499:Medical Records / Q000331:legislation & jurisprudence; D009817:Office Management; D017755:Prosthesis Fitting