Medical Records, Documentation and Electronic Health Records
Across
- 2. additional use of patient records
- 4. government insurance plans offering EHR incentive programs
- 6. multiple users may use them at any time
- 7. patient simply does not follow physician instructions
- 9. objective
- 10. when periodic attention is needed; staff can be notified
- 11. 8th leading cause of patient death in the United States
- 13. prescribed medications are sent directly to pharmacy
- 17. an element of hospital discharge summary
- 19. subjective
- 20. history of present illness
- 21. may include treatment options
- 22. review of systems
- 23. software program made to suit a specific specialty and style of physician's office
- 25. also known as charts
Down
- 1. transforming spoken medical words into accurate written form
- 3. maintains each users' ability to work in certain areas of a patient's electronic health record
- 5. hired to do internal auditing at a medical office
- 8. always verify before performing any procedure on a patient
- 12. specific information required of a population
- 13. conforms to nationally recognized interoperability standards
- 14. base document for patient's financial record
- 15. base document for patient medical record
- 16. brief and to the point
- 18. created when an error or omission is found in an electronic medical record
- 24. eligible provider