Wilson Ch 8 Flashcards

0
Q

Charting

A

The process of tabulating clinical information on a graphic form

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1
Q

Chart

A

A form or graphic uses as a component of a patients permanent health record

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2
Q

Encryption

A

Translation of computerized data into a secret code; most effective way to achieve data security; need key or password to translate cipher text

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3
Q

Forensic

A

Pertaining to or used in legal proceedings

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4
Q

Forensic dentistry

A

Refers to the use of dental records or oral health data to identify individuals for legal proceedings

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5
Q

Malpractice

A

Professional negligence; a deviation from acceptable standards of care that causes injury to a patient

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6
Q

Patient record

A

Written document that contains information identifying an individual patient such as a patients name, address, and phone number, as well as information related to that particular patients care such as health history information, dental charting items, treatment dates, and treatment codes.

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7
Q

Electronic record

A

In a computerized database management system, a record is a complete set if information

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8
Q

Sign

A

Objective, observable evidence of an illness or disorder, a physical manifestation of a disorder that is apparent to a trained healthcare provider and sometimes to the patient

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9
Q

Symptom

A

Any change in the body or its function that is perceived by the patient, the subjective experience of a disorder or disease

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10
Q

Triage

A

Screening and classification of individuals in order to make optimal use of treatment resources; sorting and allocating relative priority for patient treatment needs

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11
Q

Unique identifier

A

Secret name or password used by an individual to access computerized information that is not available to others who do not have permission to access the information

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