7-2 The Patient’s Medical Record

Inspection.

The recording of observations, subjective and objective findings, diagnostic procedures, treatments, and other pertinent data in the patient file.

To put at risk.

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.

one who intentionally delays or postpones action.

Record of the continuing progress and treatment of a patient.

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.