chapter 10 Flashcards
Age of majority
The age at which the law recognizes a person to be an adult; it varies by state
Alphabetic filing
any system that arranges names or topics according to the sequence of the letters in the alphabet
Alphanumeric
Describes systems made up of combinations of letters and numbers
anthropometric
pertaining to the measurement of the size and proportions of the human body
caption
a heading, title, or subtitle under which records are filed
compliance
meeting the standards and regulations of the practices established policies and procedures. can also mean cooperation
concise
using as few words as possible to express a message
continuity of care
the smooth continuation of care from one provider to another. This allows the patient to receive the most benefit with no interruption or duplication of care.
dictation
to say something out loud for another person to write
direct filling system
A filing system in which materials can be located without consulting another source of reference
electronic health record
An electronic record that conforms to nationally recognized standards and contain health related information about a specific patient. It can be created manage, and consulted by authorized clinicians and staff from more than one healthcare organization.
e-prescribing
The use of electronic software to communicate with pharmacies and send prescribing information. It takes the place of writing a prescription by hand and giving it to a patient; most new or refill prescription by hand and giving it to a patient; most new or refill prescription by hand and giving it to a patient; most new or refill prescriptions can be submitted electronically, cutting down on fraud and errors
hereditary
passed from parent to offspring through the genes
incidence
how often occur something happens
interface
an interconnection between systems
interoperability
the ability to work with other systems
numeric filing
The filing of records, correspondence, or cards by number
objective information
Data obtained through physical examination, laboratory and diagnostic testing, and by measurable information
obliteration
to remove or destroy all traces of; do away with; destroy completely
out guides
sturdy cardboard or plastic file-sized cards used to replace a folder temporarily removed from filing space
parameters
rules that control how something should be done; guidelines or boundaries
patient portal
A secure online website that gives patient 24hr access to personal health information using a username and password
prognosis
the likely outcome of a disease including the chance of recovery
provisional diagnosis
a temporary diagnosis made before all tests have been received
quality control
a process to ensure the reliability of test results often using manufactured samples with know values
retention schedule
a method or plan for retaining or keeping health records and for their movement from active to inactive to closed
reverse chronologic order
the most recent item is on top, and the oldest item is last
