Medication Order - Indication For Use Requirements
Does the medical record need to contain a diagnosis, condition, or indication for use for each medication ordered ?
Any examples are for illustrative purposes only.
Yes. Standard MM.04.01.01 requires that there be documented indication for all medications ordered. That indication can be in the form of lab values, diagnoses, progress note entries, etc. In other words, the indication must be evident somewhere in the medical record. This requirement is found in the Medication Management chapter at MM.04.01.01.
Yes. Standard MM.04.01.01 requires that there be documented indication for all medications ordered. That indication can be in the form of lab values, diagnoses, progress note entries, etc. In other words, the indication must be evident somewhere in the medical record. This requirement is found in the Medication Management chapter at MM.04.01.01.
Manual:
Home Care
Chapter:
Record of Care Treatment and Services RC
First published date: April 11, 2016
This Standards FAQ was first published on this date.
This page was last updated on November 01, 2021
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