Across
- 2. medical records are also used in
- 4. 160/80
- 6. when a child reaches 18, most states consider them to be adults with the right to privacy
- 9. include findings from tests
- 10. to examine and review a group of patient records
- 12. information that must be obtained when a patient makes an appointment
- 13. electronic medical record
- 14. where information came from
- 16. a patient who does not follow the medical advice he or she receives
- 17. medical records must be neat and legible
- 18. patient medical health records
Down
- 1. documentation must be
- 3. received by fax
- 5. subjective, objective, assessment, plan
- 6. cheif complaint, history,examination,details, drugs and dosage, assesment, return
- 7. the process of recording information in a medical record
- 8. use precise description
- 11. problem oriented medical record
- 15. getting to the point
- 19. history of present illness