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MOPS

Terms for Fall 10.13.2009

QuestionAnswer
-to show a mutual relationship correlation
The determination of the nature/cause of a disease. Diagnosis
To see or understand a difference between two things. Discernible
Being an indispensable part of a whole. Integral
A complete set of information put down in writing to authenticate evidence of facts and events. Medical Record
A permanent legal document formally stating the results of and examinations. Medical Report
Perceptible to the observer/external senses. Objective (info)
An inference from what has been seen or heard. Observation
Competency as a result of training and experience. Proficiency
The forecast of the outcome of a disease/injury. Prognosis
Records of patient visits, phone calls, progress and treatment that are inserted into the pts. chart. Progress Notes
Any objective evidence of disease discoverable by a Dr. on examination of a patient. Sign
Findings perceptible only by hte affected person. Subjective
Any perceptible change in the body or its functions (indicating disease or illness) Symptom
Created by: erinmarie
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