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Answered By: Jeneen LaSee-Willemssen Last Updated: Mar 25, 2016 Views: 132
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.