EHR Vocab; C8 D5

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15 Terms

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Specialist

Healthcare professional with advanced education, training, and expertise in a specific area of medicine

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Sick Visit

Same day urgent visit for non-threatening illness or acute symptoms

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Blood Pressure Check

Medical visit to measure the force of blood against artery walls using a cuff

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Nurse Visit

A healthcare encounter with a nurse to perform assessment, administer treatments, and health education

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Telehealth

Use of electronic and telecommunication technology to deliver remote healthcare services

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Encounter

Pt’s interaction with a healthcare provider for service like exams, treatment, or procedures that do not require an inpatient overnight stay

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Procedure

A surgical, therapeutic, or diagnostic operation or technique

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NPO

Nothing by mouth

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Immunization

Action of making a pt resistant to a particular disease or pathogen, typically by vaccination

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Insurance Referral

An order from a PCP allowing you to see a specialist or receive specific medical services. This is not simply verbal but a documentation process submitted to the insurance for approval.

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Appointment

Planned meeting with a provider to get medical care

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Annual Well Exam

Yearly appointment to assess a pt’s health

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CMA

Certified Medical Assistant

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CCMA

Certified Clinical Medical Assistant

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Therapeutic

Something that cures or heals the mind or body