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MedTerm1:
The Structure of Medical Language
7
Other
Undergraduate 1
02/28/2016

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Term
The medical record is a medicolegal record. This means​ that:

A.
it is an electronic health record.
B.
it is a medical document only.
C.
it is a legal document only.
D.
it is a medical document and also a legal document that can be used in a court of law.
Definition
D.
it is a medical document and also a legal document that can be used in a court of law.
Term
Medical records vary in format and content from one facility to another. Short narrative notes and checklists are used​ _____________.
A.
instead of preprinted forms
B.
in​ physicians' offices and clinics
C.
in hospitals
D.
only in the electronic medical record
Definition
B.
in​ physicians' offices and clinics
Term
Hospitals have more extensive documentation than​ physicians' offices. Common documents for a hospitalized patient might include​ a/an:

A.
Discharge Summary.
B.
Operative Report.
C.
History and Physical Exam.
D.
All of the above.
Definition
D.
All of the above.
Term
Before patients can be treated at any type of healthcare​ facility, they must sign​ a/an:

A.
agreement to refer the doctor.
B.
consent to transfer.
C.
preventative checklist.
D.
consent to treatment.
Definition
D.
consent to treatment.
Term
The term psychiatry is pronounced as​ ____.

A.
​SY-ky-AH-tree
B.
​SY-ky-ah-tree
C.
​sy-KY-ah-tree
D.
​sy-KY-ah-TREE
Definition
C.
​sy-KY-ah-tree
Term
A patient must sign an agreement to allow the healthcare facility to​ contact__________ to obtain payment.

A.
their family
B.
the insurance company
C.
their employer
D.
their bank
Definition
B.
the insurance company
Term
HIPAA stands​ for:

A.
Healthy Insurance Portability and Acceptance Act of 1996.
B.
Health Insurance Portability and Accounting Act of 1996.
C.
Health Insurance Portability and Accountability Act of 1996.
D.
Health Industry Portability and Accounting Act of 1996.
Definition
C.
Health Insurance Portability and Accountability Act of 1996.
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