Which type of note documents findings from another provider when requested by the attending physician?

Which type of note documents findings from another provider when requested by the attending physician?

• A. Discharge summary
• B. Progress notes
• C. Consultation notes
• D. Admission note

Answer: (C)

A consultation note is created when the attending physician asks input from another provider. The consultant documents their evaluation, including the history pertinent to the consultation, the exam findings, any tests reviewed, the impression or diagnosis, and specific recommendations for management. This note is intended to inform and guide the primary team’s plan. In contrast, an admission note records the initial assessment on entry to care, a progress note tracks daily updates on the patient’s status and plans, and a discharge summary summarizes the hospital course and discharge instructions. The consultation note specifically captures findings and input from another provider requested by the attending physician.

A consultation note is created when the attending physician asks input from another provider. The consultant documents their evaluation, including the history pertinent to the consultation, the exam findings, any tests reviewed, the impression or diagnosis, and specific recommendations for management. This note is intended to inform and guide the primary team’s plan.

In contrast, an admission note records the initial assessment on entry to care, a progress note tracks daily updates on the patient’s status and plans, and a discharge summary summarizes the hospital course and discharge instructions. The consultation note specifically captures findings and input from another provider requested by the attending physician.