Chapter 2 Medical Records
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| alphabetical filing system | organization of medical records by patient or client identification number and color coding
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| assessment | veterinary diagnosis of problem
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| cage card | identification and location of patient while in the care of facility
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| client | the owner of the animal
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| color code | method used to file medical records for visual ease of use
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| confidentiality | maintenance of privacy of medical information
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| consent form | permission given by owner to treat animal
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| health certificate | documentation that an animal is in good health and can be transported out of state or county
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| medical record | written and recorded information on the care and treatment of the animal
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| neuter certificate | documentation that animal has been spayed or castrated and is not longer able to reproduce
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| numerical filing system | organization of medical records by client or patient last name
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| objective information | measured facts, example vital signs
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| patient | the animal being treated
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| plan | treatments or procedures provided
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| progress notes | documentation chronologically detailing the patients history, treatment, and outcomes
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| rabies certificate | documentation the animal has received proper vaccination for rabies
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| SOAP | subjective information, objective information, assessment, plan, one method used for documentation in the medical record
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| subjective information | observations of the animal's appearance and behavior made by the vet staff
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| Veterinary Client patient relationship (VCPR) | relationship established between patient, client, and veterinary staff based on trust, expertise, and duty to care for an animal
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
tromanczak
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