racheal's crossword
Across
- 2. a subjective, or internal condition felt by a patient
- 4. complaint the patient's main issue of pain or ailment
- 7. diagnosis or impression of a patient's problem
- 8. each condition or diagnosis a patient has is listed separately and given it's own number
- 9. patient health record created and stored on a computer
- 10. makes it easier for the physician to keep track of a patient's progress
- 11. a health record that provides a summary of medical information
- 14. inventory of the body obtained by the healthcare provider through a series of questions
- 16. one of the 6 c's of charting
- 17. a collection of records created and stored on a computer
- 18. contains important information about a patient's medical history and present condition
- 22. contains the patient's past medical history surgeries allergies current medications
- 24. to suit a specific specialty and style of a physician's office
- 25. the last part in the soap documentation
Down
- 1. the recording of information in a patient's medical record
- 3. pertaining to data that are readily apparent and measurable, such as vital signs test results or physical examination findings
- 5. the transforming of spoken notes into accurate written form
- 6. to examine and review a group of patient records for completeness and accuracy
- 9. record of health related information for an individual patient
- 12. patient information is arranged
- 13. data come from the physician examinations and test results
- 15. statistical data relating to the population and particular groups within it
- 19. a patient who does not follow the medical advice given
- 20. takes the soap format further breaking it down into smaller components
- 21. - data come from the patient
- 23. an objective or external factor, such as blood pressure, rash or swelling