JV's MOPII Puzzle

2. health record that patient keeps but is not admissible in court
3. multiple users may use electronic ___ to make patient's appointments
5. primary reason most providers give for not implementing electronic records in their offices
8. __of action including treatment options, medications, etc.
9. when a new patient makes an appointment with the office, certain basic __ information is required.
11. data from the physician, exam or test results
12. process of recording info in med record
13. physician must be able to trust the ___of the information in the medical records
14. protection and security act that protects the confidentiality of patient records, etc.
15. one of the 6 C's that means "brief and to the point"
16. patients primary problem
21. records created, compiled and managed by providers//staff located within a single healthcare organization
23. one of the 6 C's using precise descriptions and accepted medical terminology describing patient's condition.

1. transforming spoken notes into accurate written form
4. data from the patient or what the patient describes
6. staff requirement disadvantage for EHR programs
7. patient information arranged within chart or medical record according to who supplied data
10. form that contains the patient's past medical history
15. format of medical records documentation broken down into smaller components
16. __form signed by patient before procedure is performed
17. records utilized by members of more than one healthcare organization
18. patient information arranged within chart of medical record including problem list, diagnostic & treatment plan
19. diagnosis or impression of patient's problem
20. files that can alert and remind staff members about patients
22. format using an orderly series of steps for dealing with any medical case.