Across
- 5. Process of recording information in the medical record
- 7. Patient medical or health records are also known as?
- 8. Oriented Medical Record what does POMR stand for?
- 11. Transcribed material always contain the?
- 12. Getting to the point
- 15. TO____ a record means to examine and review a group of patient records for completeness and accuracy
- 17. a person's social security number is known as?
- 18. Complaint Patients who visit the doctor always has a?
Down
- 1. temp of 146-3
- 2. Not following these guidelines and rules can land you fines and even jail time
- 3. date of current visit phone number dob and patients name is referred to as basic______ information?
- 4. Used to describe a patient who does not follow medical advice
- 6. what number place does assessment fall under in the SOAP process?
- 9. All medical records must be?
- 10. the first D in the CHEDDAR process stands for?
- 13. Health Record what does EHR stand for
- 14. Oriented Medical Record what does SOMR stand for?
- 16. How many lines do you draw through a word when you make a mistake