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Week #4 vocab vocab

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