ch2 medical records Word Scramble
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Question | Answer |
alphabetical filing system | organization of medical records by patient or client identification number and color coding |
assessment | veterinary diagnosis of problem |
cage card | identification and location of patient while in the care of facility |
client | the owner of the animal |
color code | method used to file medical records for visual ease of use |
confidentiality | maintenance of privacy of medical information |
consent form | permission given by owner to treat animal |
health certificate | documentation that an animal is in good health and can be transported out of state or county |
medical record | written and recorded information on the care and treatment of the animal |
neuter certificate | documentation that animal has been spayed or castrated and is not longer able to reproduce |
numerical filing system | organization of medical records by client or patient last name |
objective information | measured facts, example vital signs |
patient | the animal being treated |
plan | treatments or procedures provided |
progress notes | documentation chronologically detailing the patients history, treatment, and outcomes |
rabies certificate | documentation the animal has received proper vaccination for rabies |
SOAP | subjective information, objective information, assessment, plan, one method used for documentation in the medical record |
subjective information | observations of the animal's appearance and behavior made by the vet staff |
Veterinary Client patient relationship (VCPR) | relationship established between patient, client, and veterinary staff based on trust, expertise, and duty to care for an animal |
Created by:
tromanczak
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