Admitting Orders Sample Clauses

Admitting Orders. For each Medical Center inpatient, the medical record must contain an admission order and note ("Admission Order"). Such Admission Order shall contain: (1) a concise statement of patient complaints, including the chief complaint, and the date of onset and duration of each; (2) the reason for admission for care, treatment and services, including the patient's initial diagnosis(is), diagnostic impression(s) or condition(s); (3) treatment goals and plan of care (plans of care and discharge plans should be initiated immediately upon admission and should be modified in the progress notes as patient care needs change);