Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why

Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.

By signing up, I agree to StudyStack's Terms of Service and Privacy Policy.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards




share
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

HLHS 101 Ch2

Introduction to Health Records Types

TermDefinition
Chief Complaint the main reason for the patient's visit
History of Present Illnesses the story of the patient's problem
Review of Systems description of individual body systems in order to discover any symptoms not directly related to the main problem
Past Medical History other significant past illnesses, like high blood pressure, asthma, or diabetes
Past Surgical History any of the patient's past surgeries
Family History any significant illnesses that run in the patient's family
Social History a record of habits like smoking, drinking, drug abuse, and sexual practices that can impact health
Clinic Note documents a visit
Consult Note provides an expert opinion on a more challenging problem
Emergency Department Note documents an emergency department visit
Admission Summary documents the admission of a patient to the hospital
Discharge Summary describes when and why the patient was admitted; documents a longer stay
Operative Report documents a surgery in detail
Daily Hospital Note / Progress Note documents daily hospital visit
Radiology Report explains reason for image, how image was performed, what was seen on the image, radiologist's assessment; sometimes a recommendation
Pathology Report provides reason for test, what was seen on the test, and an assessment
Prescription provides directions for a medication
Created by: choover29