When establishing a new medical record system, whether manual or electronic, which of the following choices represents criteria that must be adhered to?
  1. The language that is used to document information should be a personal code that cannot be easily interpreted by those outside the practice
  2. A group medical record must be kept for multiple animals in the same household
  3. The record must be composed as a legal document that will be admissible in a court of law
  4. All medical records must be retained for a period of ten years
Explanation
Answer: C- When establishing a new medical record system, whether manual or electronic, the record must be composed as a legal document that will be admissible in a court of law. The prevailing legal viewpoint is that if it is not recorded, it has not been done.
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