Leah WL Word Scramble
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Question | Answer |
Electronic Health Record | same type of patient information that is digitally stored. |
Summary Sheet | identification sheet or face sheet |
Progress Notes | information regarding the patients visits to the health care provider |
SOAP method | one of the most common methods of documenting patient visits in a chart note |
SOAP | subjective, objective, assessment, and plan |
chief complaint | primary reason for seeing the physician |
objective | physical examination to investigate the chief complaint |
assessment | diagnosis, impression,________ |
plan | treatment recommended for patient |
pathology report | contains descriptions of body tissue that has been sent to a medical lab for study |
discharge summary | synopsis of patients hospital treatment |
outguide | used to hold a place of a record |
accession ledger | used to keep track of each number as it is assigned to a patient |
How are terminal digits read? | from right to left |
consecutive number filing | arranged in ascending number order, from the lowest number to the highest number |
Which of the following does not belong? | a. chief complaint b. diagnosis c. impression d. assessment |
Types of filing in the office | Numerical , alphabetical, and color coding |
When terminal digit filing is used, which number would be filed first? | a. 98-48-35 b. 04-85-32 c. 6- 48-53 d. 1-22-33 |
What is used as reminders for staff? | Tickler file |
Records of patients who are currently undergoing or have recently undergone treatment? | Active Records |
Created by:
lwlleah23
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