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Instructions: Read the mini - medical - record of each patient's encounter and answer the abstracting questions. Write the answer on the line provided. Do
Instructions: Read the minimedicalrecord of each patient's encounter and answer the abstracting questions. Write the answer on the line provided. Do not assign any codes.
OFFICE Gender: F Age: Status: Established
Chief complaint: Annual preventive care visit
History: Pure hypercholesterolemia
Examination: Comprehensive preventive care exam
Medical decision making: Cholesterol seems to be well controlled. No new problems.
a In what setting was the service provided: office or outpatient, inpatient hospital, or another setting specify
b What type of service was provided: management of a health problem, preventive care, consultation only, or othe
c Is the patient new or established?
d What code range is applicable for this type of encounter?
What is the title of the subcategory?
e What new problems were identified or managed?
f What criteria are used to determine the level of serv
g What patient information meets these criteria?
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