Across
- 1. examine and review a group of patient records
- 4. the method in which forms should be filled out
- 5. makes it easier for the physician to keep track of patient progress
- 9. What a patient medical record is known as
- 10. all entries dated to show the order in which they are made
- 12. Patient confidentiality
- 13. Must be obtained when any procedure is done on a patient
- 15. transforming spoken notes into written form
- 16. how information is documented
- 17. brief and to the point
Down
- 1. how to create a correction in a chart
- 2. Term used to describe a patient who does not follow the medical advice
- 3. Popular documentation model
- 6. Comes from new patient registration form
- 7. Also called the conventional method
- 8. how to describe a patients condition
- 9. what all charts must be viewed with
- 11. Inventory of the body obtained by the healthcare provider
- 14. Patient information should be released to meet the current needs of the patient