MA Chapter 10

Age of Majority

The age at which the law recognizes a person to be and adult; it varies by state.

Alphabetic Filing

Any system that arranges names or topics according to the sequence of the letters in the alphabet.

Alphanumeric

Describes systems made up of combinations of letters and numbers.

Anthropometric

Pertaining to the measurement of the size and proportions of the human body.

Caption

A heading, title, or subtitle under which records are filed.

Compliance

Meeting the standards and regulations of the practice’s established policies and procedures. Can also mean cooperation.

Concise

Using as few words as possible to express a message.

Continuity of Care

The smooth continuation of care from one provider to another. This allows the patient to receive the most benefit with no interruption of care.

Dictation

To say something aloud for another person to write.

Direct Filing System

A filing system in which materials can be located without consulting another source of reference.

Electronic Health Record

An electronic record that conforms to nationally recognized standards and contains health-related information about a specific patient. It can be created, managed, and consulted by authorized clinicians and staff from more than one healthcare organization.

E-prescribing

The use of electronic software to communicate with pharmacies and send prescriptions by hand and giving it to a patient; most new or refill prescriptions can be submitted electronically, cutting down on fraud and errors.

Hereditary

Passed from parent to offspring through the genes.

Incidense

How often something happens or occurs.

Interface

An interconnection between systems.

Interoperability

The ability to work with other systems.

Numeric Filing

The filing of records, correspondence, or cards by number.

Objective Information

Data obtained through physical examination, laboratory and diagnostic testing, and by measurable information.

Obliteration

To destroy or remove all traces of; tp do away with; destroy completely.

Out Guides

Sturdy cardboard or plastic file-sized used to replace a folder temporarily removed from the filing space.

Parameters

Rules that control how something should be done; guidelines or boundaries.

Patient Portal

A secure online website that gives patients access to personal health information using a username and password.

Prognosis

The likely outcome of a disease, as well as chance of recovery.

Provisional Diagnosis

A temporary diagnosis made before all tests are recieved.

Quality Control

A process to ensure the reliability of test results, often using manufactured samples of known values.

Retention Schedule

A method or plan for retaining or keeping health records and for their movement from active to inactive to closed.

Reverse Chronological Order

The most recent item is on top, and the oldest item is last.

Subjective Information

Data or information obtained from the patient, including the patient’s feelings, perceptions, and concerns; this information is obtained through interviews or written questions.

Subsequent

Occurring later or after.

Tickler File

A chronological file used as a reminder that something must be dealt with on a certain date.

Transcription

A typed or written copy of dictated material.

Vested

Granted or endowed with a particular authority, right, or property; to have a special interest in.