Ashlys crossword

2. Pertaining to data that are obtained from conversation with a patient or person.
6. Pertaining to data that are readily apparent and measurable, such as vital signs, test results, or physical examination.
8. Altering something to meet individual specifications such as when creating unique settings within EHR software program to meet the needs of a physician.
11. inventory of the body obtained by the healthcare provider through a series of questions.
15. Patient information is arranged within the chart or medical record according to who supplied the data.
16. The problem-oriented medical record system for keeping patient's charts.
18. The recording of information in a patients' medical record.
20. A health record that provides a summary of medical information, maintained in electronic or other format by an individual, that can be shared with anyone of the patient's choosing.

1. a format of medical records that takes the SOAP format further by breaking it down into smaller components.
3. Patient medical record created and stored on a computer or other electronic storage device.
4. transforming spoken notes into accurate written form.
5. to examine and review a group of patient records for completeness and accuracy.
7. part of the six C's where all entries in a patient's record must be dated to show the order in which they are made.
9. statistical data relating to the population and particular groups within it.
10. The term used to describe a patient who does not follow the medical advise given.
12. A subjective, or internal, condition felt by a patient, such as pain, headache, or nausea that cannot be seen by a physician or measured by an instrument.
13. A compilation of important information about a patient's medical history and present condition.
14. Subjective, objective, assessment, and plan.
17. An objective or external factor, such as blood pressure, rash, or swelling that can be seen or felt by the physician or measured by an instrument.
19. Patient health record created and stored on a computer or other electronic storage device.