7-2 The Patient’s Medical Record

  1. Audit-
    Inspection.
  2. Charting-
    The recording of observations, subjective and objective findings, diagnostic procedures, treatments, and other pertinent data in the patient file.
  3. Jeopardize-
    To put at risk.
  4. Objective-
    The end toward which action is directed; of a disease symptom, perceptible to persons other than the one affected; on a microscope, a lens or series of lenses.
  5. Procrastinator-
    one who intentionally delays or postpones action.
  6. Progress Notes-
    Record of the continuing progress and treatment of a patient.
  7. Subjective-
    Relating to the person who is thinking, saying, or doing something; personal; of a disease symptom, felt by the individual but not perceptible to others.
Author
h.aguilar1990
ID
228802
Card Set
7-2 The Patient’s Medical Record
Description
Medical Assisting
Updated