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Chpt 14 Med Record

Chapter 14 Medical Record Management Vocabulary - Saunders

Any system that arranges names or topics according to the sequence of the letters in the alphabet. alphabetic filing
Of or relating to systems made up of combinations of letters and numbers. alphanumeric
A formal examination of an organization's or individual's accounts or financial situation; a methodic examination and review audit
To make greater, more numerous, larger, or more intense. augment
A heading, title, or subtitle under which records are filed. caption
Of, relating to, or arranged in or according to the order of time. chronologic order
Continuation of care smoothly from one provider to another, so that the patient receives the most benefit and no interruption in care. continuity of care
The act or manner of uttering words to be transcribed. dictation
A filing system in which materials can be located without consulting an intermediary source of reference. direct filing system
Gathered bit by bit (e.g., information or material); picked over in search of relevant material. gleaned
A filing system in which an intermediary source of reference, such as a card file, must be consulted to locate specific files. indirect filing system
A film bearing a photographic record on a reduced scale of printed or other graphic matter. microfilm
The filing of records, correspondence, or cards by number. numeric filing
Information that is gathered by watching or observation of a patient. objective information
Act of making undecipherable or imperceptible by obscuring or wearing away. obliteration
A folder used to provide space for the temporary filing of materials. OUTfolder
A heavy guide that is used to replace a folder that has been temporarily moved from the filing space. OUTguide
A legal instrument authorizing one to act as the attorney or agent of the grantor. power of attorney
A strong, highly glazed composition board resembling vulcanized fiber; heavy card stock pressboard
The intentional postponement of doing something that should be done. procrastination
A temporary diagnosis made before all test results have been received. provisional diagnosis
An aggregate of activities designed to ensure adequate quality, especially in manufactured products or in the service industries. quality control
Entities considered essential or necessary. requisites
A method or plan for retaining or keeping medical records, and their movement from active, to inactive, to closed filing. retention schedule
A system that uses open shelves rather than cabinets for storing records. shelf filing
A method of filing whereby one report is laid on top of the older report, resembling the shingles of a roof. shingling
Information that is gained by questioning the patient or taken from a form. subjective information
A chronologic file used as a reminder that something must be taken care of on a certain date. tickler file
To make a written copy of, either in longhand or by machine. transcription
Granted or endowed with a particular authority, right, or property; to have a special interest in. vested
Created by: hollieritter