| Question |
Answer |
| Informed Consent |
When the patient understands the treatment and possible outcomes or side effects of the treatment |
| Noncomplient |
When a patient understands the treatment yet chooses to not follow medical advice |
| Symptom |
Subjective, or internal conditions felt by the patient, such as pain, headache, or nausea. |
| Problem-oriented medical record |
keeps track of patient's progress. Information included are database, problem list, education, diagnostic, treatment plan, and progress notes. |
| Source-oriented medical record |
Patient information is arranged according to who supplied the data-the patient, doctor, specialist, or someone else. |
| Active file |
files you use frequently |
| Cross referenced |
Files placed in more than one location, with each place noted in each file. |
| Records management |
System refers to the way patient records are created, filed and maintained |
| Tickler file |
file of notices that are reminders of things to be done. |
| Supplemental |
added to complete or make up deficiency |
| Etiquette |
Good manners |
| Enunciation |
Clear and distinct speaking |
| Pitch |
Property of sound that varies with variation in the frequency of vibration |
| Screen |
Gathering info reguarding a call before transfering it. |
| Routing list |
Specifies who is in charge and who calls should be forwarded to. |
| Matrix |
Basic format for scheduling |
| Legal record |
anything that could be used in court. Appointment books kept for 3 years. |
| Referral |
Recommendation to consult (the professional) person referred for a second opinion |
| Consultation |
Conference between two or more people to consider a particular question |
| Diagnostic tests |
x ray, radiotsotope, CT(w/contrast), mammography, aniography, etc. |
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