The Pre-Columbian era incorporates all period subdivisions in the history and prehistory of the Americas before the appearance of significant European influences on the American continents, spanning the time of the original settlement in the Upper Paleolithic period to European colonization during the Early Modern period.
While the phrase "pre-Columbian era" literally refers only to the time preceding Christopher Columbus's voyages of 1492, in practice the phrase is usually used to denote the entire history of indigenous Americas cultures until those cultures were vanquished, diminished, or extensively altered by Europeans, even if this happened decades or centuries after Columbus's first landing.
As the patient’s health worsened, a hospital stay of days turned to weeks.
But through the various tests and physician visits, the progress notes generated in the hospital’s electronic record system looked similar.
If you're able to read IPA you'll find a more accurate pronunciation in the "Pronunciation" column on the right.
Past notes were being electronically copied and pasted into current records.
Old services rendered were being documented over and over again, with additions to reflect any new services.
This “copy and paste,” or pulling forward of information from past visits, was meant to save time on the busy hospital floor.
It resulted in a misrepresentation of the patient’s stay and a fraudulent submission for reimbursement.