MA110-4
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20 terms
Terms | Definitions |
|---|---|
 Active files | Files used frequently |
| Consultation | Process which advice is rece'd or given |
| Problem Oriented Medical Record | Filing system, includes database, problem, education, diagnostic & treatment |
| Cross Reference | Files of Info logically placed in 2 or more places |
| Diagnostic test | Lab test to conform /rule out specific condition |
| Enunciation | Clear & distinct speaking |
| Etiquette | Polite & professional, good manners |
| Informed consent | Educating pt to procedure, outcome & risk of trreatment or condition |
| Legal record | Administration/clinical medical document containing pt info |
| Matrix | Basic format of pt scheduling outlining office hours and breaks |
| Non-compliant | Failing to follow all instructions |
| Pitch | High or low level of speech |
| Records management system | Way pt charts are created, filed & maintained |
| Referral | Direct a pt to outside help |
| Routing list | Specifies responsibility for various types of call |
| Screen | Determines the needs of call & when/where to transfer call |
| Source Oriented Medical record | Pt info is arranged according to who gave data |
| Supplemental | Additional info kept outside of document |
| Symptom | Subjective or internal conditions felt by pt |
| Tickler file | Reminder system |
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