chapters 11&12
Across
- 2. record within one health care provider
- 5. data that comes from the patient S in SOAP
- 8. each condition or diagnosis a patient has is listed and given its own number
- 11. owned by the patient
- 12. includes a record of the patients past medical history
- 14. protects patients privacy
- 16. use precise descriptions and accepted medical terminology
- 17. format that breaks down information into smaller components
- 18. objective or external
- 20. diagnosis A in SOAP
- 21. subjective or internal
- 24. also known as patient medical records
Down
- 1. medical records should be kept up to date
- 3. when a patient does not follow medical advice
- 4. specific information required of a population
- 6. files that need periodic attention
- 7. government entities, MCOS, private insurance perform this type of audit
- 9. transforming spoken notes into accurate written form
- 10. ROS an inventory of the body
- 13. data from the physician O in SOAP
- 15. medical staff can perform this type of audit
- 19. sometimes called the conventional method
- 20. examine and review of a group of patient records for completeness and accuracy
- 22. treatment P in SOAP
- 23. throughout many health care providers