Terms : Hide Images
| 4766432083 | attending physician | The physician primarily responsible for the care and treatment of a patient | 0 | |
| 4766433673 | chief of complaint | a statement of most important symptom or symptoms for which a patient is seeking care | 1 | |
| 4766440981 | consultation report | documents the clinical opinion of a physician other than the primary or attending physician | 2 | |
| 4766444874 | diagnostic procedure | procedure performed to assist in the diagnosis, management or treatment of a patient condition | 3 | |
| 4766453003 | digital image | a picture that is stored electronically to allow viewing on a computer | 4 | |
| 4766462460 | discharge summary report | A brief summary of the significant events of a patient's hospitalization | 5 | |
| 4766466856 | documenting | the process of making written or electronic entries about a patient in medical record | 6 | |
| 4766478384 | diagnosis | scientific method of determining and identifying a patient condition | 7 | |
| 4766487178 | electronic medical record | electronic file wherein patients' health information is stored in a computer system. | 8 | |
| 4766492152 | familial | (adj.) - relating to family | 9 | |
| 4766496427 | flow sheet | Documents on which frequent observations or specific measurements are recorded. | 10 | |
| 4766505182 | inpatient | A patient who has been admitted to a hospital for at least one overnight stay. | 11 | |
| 4766508946 | medical record | A written record of the important information regarding a patient including the care of that individual and progress of his or her condition | 12 | |
| 4766514664 | health history | collection of history containing your health | 13 | |
| 4766517277 | home health care | Care provided in a persons home. | 14 | |
| 4766525481 | medical record format | way a medical record is organized- two main types problem orientated, source orientated | 15 | |
| 4766527518 | objective symptom | a symptom that can be observed by an examiner | 16 | |
| 4766530191 | paper based patient record | Medical record in paper form | 17 | |
| 4766531911 | physical examination | assessment of each part of the patient body | 18 | |
| 4766540012 | problem | any condition that requires further observation | 19 | |
| 4766566802 | reverse chronological order | arranging documents with the most recent document on top or front/ oldest document in back | 20 |
