Shanda is supposed to see a patient for a follow-up for a cast removal. Shanda pulls up a record of a patient’s visit to the emergency room. She can clearly read the notes entered by the emergency room PA. Intake report lists the patient’s vital signs and current complaint. The record notes that the patient had a broken femur. An x-ray was taken. The bone was set, and the patient was sent home. What aspect of effective health data is this record missing?
accurate information
precision of details
quality of writing
authority of author