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MOPS
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CORRELATION
To show a mutual relationship
DIAGNOSIS
The determination of the nature\ cause of a disease.
DISCERNIBLE
To see or understand a difference between two things.
INTEGRAL
Being an indispensable part of a whole.
MEDICAL RECORD
A complete set of information put down in writing to authenticate evidence of facts and events.
MEDICAL REPORT
A permanent legal document formally stating the results of an examination.
OBJECTIVE (info)
Preceptible to the observer\external senses (i.e. Dr's conclusions).
OBSERVATION
An inference from what has been seen or heard.
PROFICIENCY
Competency as a result of training & experience.
PROGNOSIS
The forecast of the outcome of a disease\injury.
PROGRESS NOTES
Records of patient visits, phone calls, progress & treatment that are inserted into the pts. chart.
SIGN
Any objective evidence of disease discoverable by a Dr. on examination of a patient.
SUBJECTIVE
Findings perceptible only by the affected person.
SYMPTOM
Any perceptible change in the body or its functions (Indicating disease or illness).
Author
shaketarenae
ID
40916
Card Set
MOPS
Description
The Patient Record/The Medical Record
Updated
2010-10-09T23:09:05Z
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