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iRubric: MDCA 1372 EMR Charting Rubric

iRubric: MDCA 1372 EMR Charting Rubric

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MDCA 1372 EMR Charting Rubric 
EMR Charting Office Visit
Rubric Code: J247X7X
Ready to use
Public Rubric
Subject: Medical  
Type: Exam  
Grade Levels: 9-12, Undergraduate

Powered by iRubric EMR Charting
  Poor

1 pts

Fair

2 pts

Good

3 pts

Excellent

4 pts

Patient Demographics
4 pts

Name
DOB
Address

Poor

No items reviewed with patient
Fair

Only one item reviewed with patient.
Good

Only two items reviewed with patient.
Excellent

All items reviewed with patient and Updated appropriately in record.
Allergies
4 pts

Review of patient allergies

Poor

Important information is missing
Fair

Some information is missing
Good

Information is complete
Excellent

Information is complete and well organized.
Complaint
4 pts

CC
PI

Poor

Documented poorly
Fair

Documented without explaination
Good

Documented and explained
Excellent

Documented and well- described with onset, time, and adequate descriptors
Prescription
4 pts

Update and Review of patient medications

Poor

None documented
Fair

Inappropriately documented
Good

Appropriately documented
Excellent

Appropriately documented & reviewed with patient



Keywords:
  • EMR Charting

Subjects:






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