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Chapter 14 Medical Record Management Vocabulary - Saunders

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Any system that arranges names or topics according to the sequence of the letters in the alphabet.   alphabetic filing  
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Of or relating to systems made up of combinations of letters and numbers.   alphanumeric  
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A formal examination of an organization's or individual's accounts or financial situation; a methodic examination and review   audit  
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To make greater, more numerous, larger, or more intense.   augment  
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A heading, title, or subtitle under which records are filed.   caption  
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Of, relating to, or arranged in or according to the order of time.   chronologic order  
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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  
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The act or manner of uttering words to be transcribed.   dictation  
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A filing system in which materials can be located without consulting an intermediary source of reference.   direct filing system  
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Gathered bit by bit (e.g., information or material); picked over in search of relevant material.   gleaned  
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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  
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A film bearing a photographic record on a reduced scale of printed or other graphic matter.   microfilm  
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The filing of records, correspondence, or cards by number.   numeric filing  
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Information that is gathered by watching or observation of a patient.   objective information  
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Act of making undecipherable or imperceptible by obscuring or wearing away.   obliteration  
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A folder used to provide space for the temporary filing of materials.   OUTfolder  
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A heavy guide that is used to replace a folder that has been temporarily moved from the filing space.   OUTguide  
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A legal instrument authorizing one to act as the attorney or agent of the grantor.   power of attorney  
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A strong, highly glazed composition board resembling vulcanized fiber; heavy card stock   pressboard  
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The intentional postponement of doing something that should be done.   procrastination  
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A temporary diagnosis made before all test results have been received.   provisional diagnosis  
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An aggregate of activities designed to ensure adequate quality, especially in manufactured products or in the service industries.   quality control  
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Entities considered essential or necessary.   requisites  
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A method or plan for retaining or keeping medical records, and their movement from active, to inactive, to closed filing.   retention schedule  
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A system that uses open shelves rather than cabinets for storing records.   shelf filing  
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A method of filing whereby one report is laid on top of the older report, resembling the shingles of a roof.   shingling  
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Information that is gained by questioning the patient or taken from a form.   subjective information  
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A chronologic file used as a reminder that something must be taken care of on a certain date.   tickler file  
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To make a written copy of, either in longhand or by machine.   transcription  
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Granted or endowed with a particular authority, right, or property; to have a special interest in.   vested  
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