Across
- 1. Primary care Physician
- 6. Writer flags Allergies.
- 7. The term used to describe a patient who does not follow the medical advice given.
- 8. altering something to meet individual specifications.
- 9. H: History. E: Examination. D: Details of problem and complaints. D: Drugs and dosage. A: Assessment. R: Return visit information or referral, if applicable
- 10. The recording of information in a patient's medical records.
- 14. History of present illness.
- 16. pertaining to data that are obtained from conversation with a person or patient.
- 17. Use precise description and accepted medical terminology.
- 18. To examine and review a group of patients records.
- 19. of systems A process of gathering information about a patient's health.
Down
- 2. Problem Oriented Medical Record.
- 3. Subjective, Objective, Assessment, and Plan.
- 4. The transforming of spoken notes into accurate written form. (11)
- 5. Computerized records that need periodic attention. Sends an alert for follow-up care.
- 11. Fill out completely all the forms used in the patient record.
- 12. Verification Checks insurance coverage.
- 13. measurable, such as vital signs, test results, or physical examination findings.
- 15. Not a legal record.
- 20. electronic health record.