vocab test 1

chapter 10,11,and 13

13 cards·by robinkeith1644

Define chronological medical record

follows the patient over a period of time, with each visit consisting of a new entry date, rather than by symptoms or diagnosis

captial equipment

items that require a large dollar amount to purchase and have a relatively long life span.

memo

written communication sent to people within the office or ogranization.

depreciation

A loss in value of the product resulting from normal aging, use, or deterioration

Block

Letter style is spaced withh all lines, from the date through the sigature line, flush with the left margin.

addendum

An addition to the original document. such as a correction.

salutation

A courteous greeting is typed at the left margin and spaced 2 lines below the inside address

morale

The positive and negative state of mind of employees with relationship to their work or work envionment

Med record

The source of all documentation relating to the patient.

EMR

electronic medical record . A computerized means of gathering documenting, and storing info about the patient and the care they recieved.

POMR

Problem orinented medical record is used to identify patient problems and chart by those problems.

SOAP

subjective= info gathered from patient objective= data gathered during visit assessment= physicians preliminary diagnosis plan= plan 4 care

SOMR

source oriented medical recordpatient info organized in reverse chronological order and sections