What Should Comprehensive Pediatric Documentation Include?
Comprehensive pediatric documentation should include a detailed record of the patient's medical history, including prenatal and birth history, developmental milestones, immunization status, and family history. Physicians should also document growth charts, vital signs, and results of physical examinations. Diagnostic tests, treatment plans, and follow-up care should be meticulously recorded. Special attention should be given to documenting any [medication](href="") prescribed, including dosages and any adverse reactions.
