Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Normal Size Small Size show me how
Medical Terminology
| Term | Definition |
|---|---|
| SOAP | Subjective, Objective, Assessment, Plan |
| Clinic Note | Documents a visit at a clinic, written by a medical professional |
| Consult note | Provides an expert opinion on a more challenging problem, typically written by a physician, usually a specialist |
| Emergency Department Note | Documents an emergency department visit, written by the ED medical staff. |
| Admission Summary | Documents the admission of a patient to the hospital. Written by a hospital medical professional |
| Discharge Summary | Describes when and why the patient was admitted: documents a longer stay, written by a medical professional. Unique because it starts with A (Assessment) |
| Operative report | Documents a surgery in detail, written by a surgeon. Like a discharge summary, starts with A (assessment) |
| Daily Hospital Note/ Progress Note | Documents daily hospital visit, written by a medical professional |
| Radiology Report | Explains reason for the image, how it was performed, what was seen on the image and the radiologists assessment; sometimes includes a recommendation. Written by a radiologist and has no P (Plan) |
| Pathology Report | Provides reasons for test, what was seen on the test and assessment. Written by a pathologist and has no P (plan) |
| Prescription | Provides directions for the medication. Written by a medical professional. Only has the Plan |
Created by:
emilyflook
Popular Medical sets