charting by exception
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the keeping of a clinical record of the important facts about a patient and the progress of his or her illness. The patient's chart most often contains the history; laboratory reports; list of medications; results of physical examinations, consultations, and special diagnostic tests; treatments of the health care team; any problems; and the patient's response to interventions and treatment. See also problem-oriented record.
charting by exception a method of charting designed to minimize clerical activities; a notation is made only when there is a deviation from the baseline or expected outcome, or when a procedure or expected activity is to be omitted.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.
char·ting by ex·cep·tion(chahrt'ing ek-sep'shŭn)
A method of documentation based on established standards of practice, for which reason only exceptions to these standards are documented.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012