Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Med Rec #2

Med Rec

TermDefinition
Assembly Arranging the documents of the medical record in a specified order after discharge of the patient
Authorization A signed consent of the patient or his or her representative to release confidential information
Compromise care To make the patient's care less effective
Contract service A company hired to perform a function when the health information management d epartment is unable to manage the amount of work, such as transcript of dictation
Discharge Summary A report, dictated by a physician at the end of hospitalization, that details the diagnoses and treatment given
Optical Imaging System A computer system in which documents are converted into computer images that can be viewed simultaneously by multiple users
HIM Department The department, in a healthcare facility, responsible for maintaining security and confidentiality of patient records and for promoting responsible use of the records in patient care
Quality Control Review of documents that have been scanned into an optical imaging system to insure that they are legible and have been indexed correctly
Scanning The process of converting paper documents into a computer image
Indexing Assigning a document to the correct patient, document type, and episode of care in an optical imaging system
Loose Documents Documents received by the HIM department, after, the patient has been discharged, that must be placed in the record
Medical Record A multiform document detailing the patient's diagnoses, diagnostic testing, and treatment giving during an encounter with the hospital. Portions of the record may be computerized
Medical transcription Interpretation and typing of reports dictated by physicians and other healthcare personnel
Misfile To file a record or document in the wrong location
operative report A report dictated by the surgeon detailing the surgical procedure and findings
Created by: docdan
Popular Standardized Tests sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards