The item is entirely missing from the chart or is not authenticated (e.g., a physician's order is present but not signed).
Based on standard EHR Go modules, students frequently identify the following deficiencies:
In , the "Introduction to Chart Deficiencies" activity is a foundational exercise designed to train Health Information Management (HIM) students in auditing patient records for accuracy, completeness, and regulatory compliance. By simulating a real-world audit, the activity teaches how to identify gaps that could compromise patient safety or reimbursement. Core Concepts and Answer Keys ehr go introduction to chart deficiencies answers
The Progress Report is found under Download Work for the specific EHR session (see EHR Go Guide to Completing and Submitting Work) Module 13 - Introduction to Chart Deficiencies Flashcards
Frequently marked as Incomplete if they are mentioned in a progress note but not properly coded in the "Allergies" section of the patient's header or Overview tab. The item is entirely missing from the chart
The item exists in the EHR but is in the wrong location (e.g., allergies listed in a nursing note instead of the Overview tab).
Often marked as Deficient if not explicitly uploaded or documented in the correct tab. Core Concepts and Answer Keys The Progress Report
Often found to be Deficient in scenarios like Jacy Redbird's, where the report is missing or lacks clinical course details. Step-by-Step Completion Guide EHR Go Guide: The Notes Tab