EHR Chapter 4

3. ________ history - Lifestyle or habits that may affect the patients health. EX: smoking, drinking, etc.
5. This system includes your airways, lungs and blood vessels.
6. Used in an electronic environment, copying similar or identical information from a previous encounter of the same or a different patient.
7. This systems main function is to support your body's weight and help you move.
8. _________medical history- Previous medical condition(s) for which the patient has been treated.
13. _________ tract is a pathway by which food enters the body, is digested to extract nutrients and absorb energy, and solid wastes are expelled.
14. A part of the ROS that principally concerns physical examination of the head, eyes, ears, nose, and throat.
16. the organs of the reproductive system and the urinary system.
17. measurements taken to determine the status of basic body-system functions.

1. In this body system the heart and blood vessels circulate blood and oxygen around your body.
2. _______________ system/Nervous system is the major controlling, regulatory, and communicating system in the body.
4. Documentation of conditions and diseases found in immediate family members to which the patient may be genetically predisposed. (two-words)
9. __________ system uses hormones to control and coordinate your body's metabolism, energy level, reproduction, growth and development, and response to injury, stress, and mood.
10. Review of systems - a body system inventory of any symptoms the patient is having or has had based on a series of questions asked by the care provider.
11. symptoms that affect the general sense of well being. Part of the ROS
12. This is the largest organ of the body. It provides a barrier to protect and maintain.
15. _______ history a listing of previous surgical procedure(s) the patient has undergone, with dates and reasons for the procedure