illness or injury that is episodic (e.g seizure), sudden onset (broken bone), is of limited duration (bronchitis), and generally responds well to prompt medical attention.

anthropometric mesaurements

measurements of height, weight, and size used to compare the relative proportions of the human body in health and illness

brief statement of the problem, condition, or symptoms that prompted the patient to seek medical care. sometimes referred to as chief concern.

an illness that persists for a prolonged time (typically 3 months or longer), such as diabetes mellitus, emphysema, and arthritis.

evaluation and management service provided by a physician or other qualified health professional to an established patient using a web-based or similar elect based comm network for a single patient encounter that occurs over safe, secure comm system

high-alert medication

medication that poses a heightened risk of injury or death when administered improperly

history of the present illness (HPI)

Details about the duration, time, location, severity, context, associated signs and symptoms, quality, and modifying factors related to the patient’s illness

medication reconciliation

process of comparing the medication list in the patient’s EHR with the patient’s self-report of the medications he or she has been taking.

Readily seen, perceived, or measured by the clinician, not only by the patient.

An abbreviation for past (medical), family, and social history.

review of systems (ROS)

organized inventory of each organ system, completed as part of the initial patient interview to pinpoint any unusual findings in the patient’s history.

technology that converts speech into text

Perceived only by the patient and not evident to or measurable by the clinician.

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CH5 clinic EHR use

Clinic Use of EHR

Term	Definition
acute condition	illness or injury that is episodic (e.g seizure), sudden onset (broken bone), is of limited duration (bronchitis), and generally responds well to prompt medical attention.
anthropometric mesaurements	measurements of height, weight, and size used to compare the relative proportions of the human body in health and illness
chief complaint (CC)	brief statement of the problem, condition, or symptoms that prompted the patient to seek medical care. sometimes referred to as chief concern.
chronic condition	an illness that persists for a prolonged time (typically 3 months or longer), such as diabetes mellitus, emphysema, and arthritis.
e-visit	evaluation and management service provided by a physician or other qualified health professional to an established patient using a web-based or similar elect based comm network for a single patient encounter that occurs over safe, secure comm system
high-alert medication	medication that poses a heightened risk of injury or death when administered improperly
history of the present illness (HPI)	Details about the duration, time, location, severity, context, associated signs and symptoms, quality, and modifying factors related to the patient’s illness
medication reconciliation	process of comparing the medication list in the patient’s EHR with the patient’s self-report of the medications he or she has been taking.
objective	Readily seen, perceived, or measured by the clinician, not only by the patient.
PFSH	An abbreviation for past (medical), family, and social history.
review of systems (ROS)	organized inventory of each organ system, completed as part of the initial patient interview to pinpoint any unusual findings in the patient’s history.
speech recognition	technology that converts speech into text
subjective	Perceived only by the patient and not evident to or measurable by the clinician.

Created by: chaisenpai

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