Patient Record/Medical Record Terminology
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Correlation | To show a mutual relationship
🗑
|
||||
| Diagnosis (Dx) | The determination of the natural/cause of a disease
🗑
|
||||
| Discernible | To see or understand a difference between two things, very clear difference
🗑
|
||||
| Integral | Being an indispensable part of a whole
🗑
|
||||
| Medical record | Complete set of information put down in writing to authenticate evidence of facts and events
🗑
|
||||
| Medical report | A permanent legal document formally stating the results of an examination
🗑
|
||||
| Objective (information) | Perceptible to the observer/external senses (i.e. Dr's conclusions)
🗑
|
||||
| Observation | An inference from what has been seen or heard
🗑
|
||||
| Proficiency | Competency as a result of training & experience
🗑
|
||||
| Prognosis | Forecast of the outcome of a disease/injury
🗑
|
||||
| Progress notes | Records of patient visits, phone calls, progress & treatment that are inserted into the patients chart
🗑
|
||||
| Sign | Any objective evidence of disease discoverable by a physician on examination of a patient
🗑
|
||||
| Subjective (information) | Findings perceptible only by the affected person
🗑
|
||||
| Sympton | Any perceptible change in the body or its functions (indicating disease or illness).
🗑
|
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.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
wenchie040
Popular Medical sets