Chat with the Rasmussen Library
Submit a Question
Answered By: Jeneen LaSee-Willemssen Last Updated: Mar 25, 2016 Views: 141
The source document column is for the part of the patient's record that you found the abbreviation or word. For example: face sheet, discharge summary, progress notes, x-ray reports, etc.
The source document is NOT a place to record the dictionary or abbreviations dictionary or encyclopedia you used to identify the abbreviation or find the definition.