Question | Answer |
Adding a new patient | process of adding a new patient who is not previously established to the office’s database. |
Blended checklists | a list of conditions for medical staff to choose from when filling out patient information for a patient’s visit |
Disciplines of medicine | different types of healthcare |
Payer responsibility relationship | what type of insurance the patient has and what it will cover |
Presenting problem(s) | chief complaint of the patient |
Problem-focused system | appointments are scheduled according to the problem the patient is being seen for |
Scheduled patients | patients who have called the office prior to arrival to arrange a time to see the physician |
Walk-in patients | patients that do not have a scheduled appointment |
Ages with reasons | displays the patient’s age and the chief complaint for that day |
Division | the department that the facility is considered to be part of |
Location | the medical facility |
Patient order status | color-coded system that shows which patients have additional orders for treatment |
Real-time workflow | display that gives up-to-the-minute information on all patients being seen in the office |
Workflow status | information for registered patients, both scheduled and walk-ins, for that day |
Data entry field | area set aside for information and commands to be entered into the system using the keyboard |
Expanded answer | free-text answers with more space for wording |
Medical history | personal history that includes diseases, past injuries, etc. |
Normal answers | answers typically used and preset into the system that may be yes, no, normal, none. |
On-line chart | chart on the computer showing the questions and answers for the treatment notes |
Presenting problem | reason for visit, chief complaint |
Rack | indicates that the patient is ready to be seen by the physician |
Reason for visit | chief complaint |
Standard answers | short answer established by the computer program |
Vital signs | temperature, pulse, respiration, blood pressure |
CPOE | computerized physician order entry |
Face time | the time a physician spends with the patient |
Open orders | orders that are have not been completed |
Physician access | physician’s access MedTrak in many different ways to enter information for a patient |
Problem-focused | focuses mainly on the problem bringing the patient into the office |
Touch-screen | a device without a keyboard or many buttons that is activated by touching the screen |
Voice recognition | computer feature that will change a person’s voice into typed words or data |
Workflow status | clinic status of the patients seen in the office |
Additional question types | includes questions to be answered with someone’s initials and procedural questions |
Age and gender specific | certain optional questions can be age or gender specific |
Cascade of questions | pass the responsibility for the workflow steps from one discipline to another |
Completed orders | orders that have been filled or finished |
Discipline columns | indicates discipline is responsible for performing the next step of the open order |
Evidence-based medicine | medical methods that have been shown to be beneficial |
Field indicators | appear on the left of the input fields and include extra information. |
Overread | requested by the physician for a radiologist to read an X-ray |
Procedural questions | require the selection of options on another screen. |
Procedure selection options | options to choose from describing what treatment was given to the patient. |
Quality control questions | indicated by a red asterisk and must be answered before the patient can be discharged from the medical facility |
Waiting times | how long a patient has to wait be seen in the physicians’ office |
Wet read | the initial read of an X-ray by a physician |
Workflow steps | steps taken from the beginning of a patient’s visit to the end. |
Assessment | diagnosis made by the physician |
Blink speed | quick screen changes |
Objective | information obtained by a clinician such as vital signs |
Out the door | phrase used in the MedTrak system for showing the patient has been discharged |
Plan | course of treatment suggested by the physician |
SOAP notes | form of charting that follows subjective, objective, assessment, and plan format |
Subjective | the chief complain in the patient’s words or statement |
Targeted information | only information needed has been requested or queried |
Visit documentation | information recorded that summarizes a patient’s visit |