Medical Records

1. chronological order means placing new items on top in a patient's chart.
4. a law to make it easier for people to keep health insurance, protect the confidentiality and security of healthcare information
8. a 3 letter abbreviation for History of present illness
9. a status of medical record of patients who have not been to a facility for a while
11. a type of medical record
13. a ________ history includes drug, alcohol or tobacco use, current & prior occupations & relationship status
14. a status of medical records of patients who have died, moved away, or terminated their
15. a type of medical record that is easier to keep confidential
16. personal information about a patient’s past and present medical conditions, treatments and procedures
17. electronic medical record

2. with the facility.
3. The main reason why a patient is being seen at a particular appointment
4. a 3 letter abbreviation for Health Informatics Technology (field focused on the creation, storage and retrieval of medical documents).
5. : a status of medical records of current patients which must be kept readily available.
6. a type of medical record
7. breaking laws related to HIPAA could result in fines and/or jail time.
10. electronic medical records must be ____ protected.
12. _______ directive is a written statement which states patient’s wishes regarding medical treatment should the patient be unable to communicate.