SBGR ALH 151 Week 2 Ch 13 Pearson's (2012 EK)
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| active records | medical files of patients who are currently being seen by the physician that may cover 1 - 5 years, depending on office policy
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| addendum | addition to the original document
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| alphabetic filing | filing system based on the letters of the alphabet
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| chronological medical record | patient record that follows the patient over a period of time, with each visit consisting of a new entry by date, rather than by symptoms or diagnosis
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| closed records | medical files of patients who have indicated that they are no longer a patient, or patients that have died, that are kept in storage for legal reasons
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| electronic medical record (EMR) | electronic means of gathering, documenting, and storing information about the patient and the care received in the medical setting; also known as the electronic medical record
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| inactive records | medical files for patients who have not been seen within the time period established by office policy (generally 1-5 years)
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| medical record | source of all documentation relating to the patient; also known as patient files or patient charts or patient's record
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| microfiche | sheets of microfilm
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| microfilm | miniaturized photos of records
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| numeric filing | filing system that assigns an identification number to each person's name
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| problem-oriented medical record (POMR) | patient record organized according to diagnoses
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| source-oriented medical record (SOMR) | patient file organized according to the source of information
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| subjective, objective, assessment, and plan (SOAP) | patient chart notes organized according to symptoms, signs, assessment, and plan of treatment
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| terminal-digit filing | filing system based on the last digits of the ID number that evenly distributes the files within the entire filing system
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You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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