Across
- 2. Chief complaint, history, Examination, Details, Drugs and dosage not cheese!
- 4. contain important info of the patients and medical history
- 5. Electronic medical record
- 7. audits done within the office
- 11. Personal Health Record
- 13. Source Oriented Medical Record
- 14. to examine and review a group of medical records for completeness and accuracy
- 15. the process of recording information in the medical record
- 16. Problem Oriented Medical Record
- 18. Something you can measure/see; BP, temperature, rash etc..
- 19. Form you sign to allow treatment
Down
- 1. transferring spoken word into written documents.
- 3. Electronic Health Record
- 6. all information gathered in the initial interview, past medical history ect.
- 8. audits done outside the office usually by gov't entities
- 9. specific info that is required of a population
- 10. What they feel; headache
- 12. Someone who dose not follow the DR. instructions
- 17. An inventory of the body obtained by the health care provider through a series of questions
- 20. Subjective Objective Assessment Plan