Across
- 4. to examine and review a group of patient records for completeness and accuracy
- 5. files that need periodic attention
- 6. specific information required of a population
- 11. data that comes form the patient
- 12. what recording information in a patient's is called
- 13. term used to describe a patient who does not follow medical advice
- 15. in order to trust the information in the medical record, documentation must be this at all times
- 16. sometimes called the conventional method
- 17. an element of a discharge summary
- 20. includes a record of the patient's past medical history
- 21. maintains user's ability to work in certain areas of a patient's her
- 23. internal conditions felt by the patient
- 24. external factors that can be seen
Down
- 1. the reason providers give for not implementing electronic records in their office
- 2. uses precise descriptions and accepted medical terminology when describing a patient's condition
- 3. let the master answer
- 7. providers who might participate in the her incentive program
- 8. data from the physician, examinations, and test results
- 9. getting to the point
- 10. health insurance and portability act
- 14. term used for a correction made to an electronic file
- 17. a format of medical records documentation broken down into smaller components
- 18. the 8th leading cause of patient deaths
- 19. transferring spoken notes into the accurate written form
- 22. what patients medical records are referred to as