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Chpt 14 Med Record
Chapter 14 Medical Record Management Vocabulary - Saunders
| Question | Answer |
|---|---|
| Any system that arranges names or topics according to the sequence of the letters in the alphabet. | alphabetic filing |
| Of or relating to systems made up of combinations of letters and numbers. | alphanumeric |
| A formal examination of an organization's or individual's accounts or financial situation; a methodic examination and review | audit |
| To make greater, more numerous, larger, or more intense. | augment |
| A heading, title, or subtitle under which records are filed. | caption |
| Of, relating to, or arranged in or according to the order of time. | chronologic order |
| Continuation of care smoothly from one provider to another, so that the patient receives the most benefit and no interruption in care. | continuity of care |
| The act or manner of uttering words to be transcribed. | dictation |
| A filing system in which materials can be located without consulting an intermediary source of reference. | direct filing system |
| Gathered bit by bit (e.g., information or material); picked over in search of relevant material. | gleaned |
| A filing system in which an intermediary source of reference, such as a card file, must be consulted to locate specific files. | indirect filing system |
| A film bearing a photographic record on a reduced scale of printed or other graphic matter. | microfilm |
| The filing of records, correspondence, or cards by number. | numeric filing |
| Information that is gathered by watching or observation of a patient. | objective information |
| Act of making undecipherable or imperceptible by obscuring or wearing away. | obliteration |
| A folder used to provide space for the temporary filing of materials. | OUTfolder |
| A heavy guide that is used to replace a folder that has been temporarily moved from the filing space. | OUTguide |
| A legal instrument authorizing one to act as the attorney or agent of the grantor. | power of attorney |
| A strong, highly glazed composition board resembling vulcanized fiber; heavy card stock | pressboard |
| The intentional postponement of doing something that should be done. | procrastination |
| A temporary diagnosis made before all test results have been received. | provisional diagnosis |
| An aggregate of activities designed to ensure adequate quality, especially in manufactured products or in the service industries. | quality control |
| Entities considered essential or necessary. | requisites |
| A method or plan for retaining or keeping medical records, and their movement from active, to inactive, to closed filing. | retention schedule |
| A system that uses open shelves rather than cabinets for storing records. | shelf filing |
| A method of filing whereby one report is laid on top of the older report, resembling the shingles of a roof. | shingling |
| Information that is gained by questioning the patient or taken from a form. | subjective information |
| A chronologic file used as a reminder that something must be taken care of on a certain date. | tickler file |
| To make a written copy of, either in longhand or by machine. | transcription |
| Granted or endowed with a particular authority, right, or property; to have a special interest in. | vested |
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