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age of majority
The age at which the law recognizes a person to be an 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 system made up of combination of the letters and numbers.
anthropometric
Pertaining to the measurement of the size and proportions of the human body.
caption
A heading, tittle, or subtitle under which records are filed.
compliance
Meeting the standards and regulations of the practice’s established policies and procedures.
computerized provider/physician order entry (CPOE)
The process of entering medication orders or other provider instructions into the EHR.
concise
Using as few words as possible to express 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 or duplication of care.
dictation
To say something aloud for another person to write down.
direct filling system
A filling system in which materials can be located without consulting another source of reference.
electronic health record (EHR)
An electronic record that conforms to nationally recognized standards and contain health-related information about a specific patient. It can be created, managed, and consulted by authorize clinicians and staff from more than one healthcare organization.
e-prescribing
The use of electronic software to communicate with pharmacies and send prescribing information. It takes the place of writing a prescription by hand and giving it to the patient; most new refill prescriptions can be submitted electronically, cutting down on fraud and errors.
hereditary
Pass from parents to offspring through the genes.
incidence
How often something happens occurs.
interface
An interconnection between system.
interoperability
The ability to work with other systems.
numeric filing
The filing of records, correspondence, or cards by numbers.
objective information
Data obtained through physical examination, laboratory and diagnostic testing and by measurable information.
obliteration
To remove or destroy all traces of; do away with; destroy completely.
out guides
Study cardboard or plastic file-size used to replace a folder temporarily removed from the filling space.
parameters
Rules that control how something should be done; guidelines or boundaries.
patient portal
A secure online website that gives patient 24-hour access to personal information using username and password.
prognosis
The likely outcome of disease, including the chance of recovery.
provisional diagnosis
A temporary made before all test results have been received.
quality control
A process to ensure the reliability of test results, often using manufactured samples with known values.
retention schedule
A method or plan of retaining or keeping health records and for their movement from active to inactive to closed.
reverse chronologic
The most recent item is on top, and the oldest item is last.
subjective information
Data or information obtained from the patient, including the patients feelings, perceptions, and concerns; this information is obtained through interviews or written questions.
subsequent
Occurring later or after.
tickler file
A chronologic file used as a reminder that something must be dealt with on a certain date.
transcription
A type of written copy of dictated material.
vested
Granted or endowed with a particular authority, right, or property; to have a special interest.