Across
- 5. specific information required of a population
- 7. approach to documentation provides an orderly series of steps dealing with any medical case
- 12. specific specialty and style of a physicians' office
- 13. contain important information about a patient's medical history and present condition
- 14. format of medical records documentation takes SOAP format further
- 15. a record of the patient's past medical history
- 16. is entered for each problem list
- 17. examine and review a group of patient records for completeness and accuracy
- 19. is the primary reason most providers give for not implementing electronic records
- 20. recording information in the medical record
Down
- 1. an inventory of the body obtained by the healthcare provider through a series of questions
- 2. patient information is arranged within the chart or medical record according to who supplied the data
- 3. factor that can be felt or seen during an examination by a doctor or measured by an instrument
- 4. easy for physician to keep track of a patients
- 6. should be kept up-to-date
- 8. is considered the best choice for charting
- 9. transforming spoken notes into accurate written form
- 10. second part of the registration process, contains the patient's past medical history
- 11. a patient who does not follow the medical advice he or she receives
- 18. conditions felt by the patient