Download Supervision of Normal Pregnancy

Documentation Guide
Supervision of Normal Pregnancy
Think: # Pregnancy
Think: Gestational age
Epic Search Term: SUP NOR
• Encounter Type
o Supervision of normal first pregnancy
o Supervision of other normal pregnancy
o Supervision of normal pregnancy, unspecified
• Specify Trimester
o Trimesters are counted from the first day of the last menstrual period.
o Trimester defined as follows:
 1st trimester- less than 14 weeks 0 days
 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
 3rd trimester- 28 weeks 0 days until delivery
EXAMPLE OF SUPPORTING DOCUMENTATION:
Patient is a G2P1001 female who is seen in the clinic for routine prenatal care that
Is at 12 weeks 2 days gestation.
Probable Diagnosis: Supervision of other normal pregnancy, first trimester
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