Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


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. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

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.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
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

Bonewit Chapter 1

The Medical Record

QuestionAnswer
The physician responsible for the care of a hospitalized patient. Attending Physician
The process of making written entries about a patient in the medical record. Charting
A narrative report of an opinion about a patient's condition by a practitioner other than the attending physician. Consultation
The scientific method of determining and identifying a patient's condition. Diagnosis
A procedure performed to assist in the diagnosis, management, or treatment of a patient's condition. Diagnostic Procedure
A brief summary of the significant events of a patient's hospitilization. Discharge Summary Report
A medical record that is stored on a computer. Electronic Medical Record
Occuring or affecting members of a family more frequently than would be expected by chance. Familial
A collection of subjective data about a patient. Health History Report
The provision of medical and nonmedical care in a patient's home or place of residence. Home Health Care
Consent given by a patient for a medical procedure after being informed of the nature of his/her condition. Informed Consent
A patient who has been admitted to a hospital for at least one overnight stay. Inpatient
Conclusions drawn by the physician from an interpretation of data. Medical Impressions
A written record of the important information regarding a pstient, including the care of the individual and the progress of the patient's condition. Medical Record
The way a medical record is organized. The two main types of medical record Medical Record Format
A symptom that can be observed by an examiner. Objective Symptom
A medical record in paper form. Paper-based Patient Record (PPR)
An individual recieving medical care. Patient
An assesment of each part of the patient's body to obtain objective data about the patient that assists in determining the patient's state of health. Physical Examination
An individual recieving medical care. Physical Examination Report
A medical record in paper form. Problem
An individual recieving medical care. Prognosis
Arranging documents with the most recent document on top or in the front which means that the oldest document is on the bottom or at the back of a section or file. Reverse Chronological Order
A method of organization for recording progress notes. The SOAP format includes the following categories: subjective data, objective data, assesment, and plan. SOAP Format
A symptom that is felt by the patient, but is not observable by an examiner. Subjective Symptom
Any change in the body or its functioning that indicates the presence of disease. Symptom
Popular Medical sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards