The Medical Record La'Keia Gaines
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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attending physician | the physician responsible for the care of a hospitalized patient
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charting | the process of making written entries about a patient in the medical record
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consuation report | a narrative report of an opinion about a patient's condition by a practioner other than the attending physician
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diagnosis | the scientific method of determining and identify a patient's condition
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diagnostic procedure | a procedure performed to assist in the diagnosis, management, or treatment of a patients condition
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discharge summary report | a brief summary of the significant events of a patients hospitalization
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electronic medical record | a medical record that is stored on the computer
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familial | occurring in or affecting members of a family more frequently than would be expected by chance
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health history report | a collection of subjective data bout a patient
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home health care | the provision of medical and non-medical care in a patient's home or place of residence
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informed consent | consent given by a patient for a medical procedure after he or she has confirmed of the nature of his or her condition and purpose
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inpatient | a patient who has been admitted to a hospital for at least one overnight stay
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medical impressions | medical impressions conclusions drawn by physicians
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medical record | a written record of important information
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Created by:
lakeiagaines
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