Hcs120r2 Week 3 Terms Worksheet

Weekly Vocabulary Exercise: Health Records and Patient-Related Information
HCS/120 Version 2
:;University of Phoenix Material

Complete the worksheet according to the following guidelines:
In the space provided, write each terms definition as used in health care. You must define the
term in your own words; do not simply copy the definition from a textbook.
In the space provided after each terms definition, provide an explanation that illustrates the
importance of the skill, concept, procedure, organization, or tool the term refers to. In your
explanation, you may wish to consider the following:
How has it influenced health care?

Why is it important to understand the appropriate application of the term or concept?
Save the completed worksheet as a Microsoft Word document with your name in the file name.
Submit the file to your facilitator.
Note. You must define 20 terms related to health records and patient information in this worksheet.
Therefore, in addition to the terms already provided for you below, finish the additional spaces on the
worksheet with terms from your reading or discussion you were not previously familiar with and had to
research.
Submitted by: [Type your name here.]
Term
Definition in your own words
Use the term in a sentence as it

applies to the health care industry.
Patient history
The medical history of a person or patient.
We must first go over the patients

history to determine surgery.
Demographic
The qualities (such as age, sex, and income)

of a specific group of people.
The number demographic of

patient are growing in numbers.
Physical
Something referring to the body.
She really need to get her body

back in physical shape.
Advanced directives
Legal documents when the patient give

directions or designates a person to make
decisions about the patients health in case
the patient become incapable of making
decisions
Every patient must be asked if

they have any advanced
directives.
Diagnosis
A determination of the cause of an illness or

disease.
Due to the seriousness of his

diagnosis, he was very
disappointed.
Prognosis
The prospect of recovery as anticipated

from the usual course of disease or
peculiarities of the case.
Right now, doctors say

his prognosis is good.
Allergies
A medical condition that causes

someone to become sick after eating,
touching, or breathing something that is
harmless to most people.
We will give the patients some

medication for her allergies.
Electronic health
A digital version of a patient's paper chart.
Electronic Health Record have
Copyright 2016, 2014 by University of Phoenix. All rights reserved.

HCS/120 Version 2
record
been part of American health care

since the 1970s.
Discharge summary
A letter written by the doctor that took care of

a patient while they were in the hospital that
contain important information
Before the patient is released, we

have to make sure they sign their
discharge summary.
E-prescribing
Is a technology framework that allows

physicians and other medical practitioners to
write and send prescriptions to a
participating pharmacy electronically instead
of using handwritten prescriptions.
E-prescribing is faster and easier

that writing out the prescription.
Meaningful use
Is using certified electronic health records

technology to maintain privacy and security of
patient health information.
To demonstrate Meaningful Use

with your EHR, you must report on
all of the programs objectives.
Health information
exchange
Is the mobilization of health care

information electronically across
organizations within a region, community or
hospital system.
The Health Information Exchange

system have changed over the
years.
Master patient index
Is an electronic medical database that holds

information on every patient registered at a
healthcare organization.
The Master Patient Index provides

a clear and complete view of an
individual patient and also a largescale view of the demographics
that a healthcare organization is
working with.
Database
Is a collection of pieces of information

that is organized and used on a
computer.
All of our patients information is

kept in the hospital database.
HIPAA
Stands for the Health Insurance Portability

and Accountability Act, a US law designed to
provide privacy standards to protect patients'
medical records and other health information
provided to health plans, doctors, hospitals
and other health care providers.
Make sure to include each patient

in the HIPAA program to ensure
their privacy.
Insurance Coverage
Is the amount of risk or liability that

is covered for an individual or entity by way
of insurance services.
The patient has the right insurance

coverage to help pay for their
surgery.
Medical Information
Is referred to as protected health information,

generally refers to demographic information,
medical history, test and laboratory results.
Every patient medical information

should always be kept private.
Lab Results
Check a sample of your blood, urine, or

body tissues.
We are waiting for the lab results

before we give him any pain
medicine.
Medication
A substance used in treating disease or

relieving pain.
The patient needs to bring a list of

her medication she takes on a
daily basis.
Vital Signs
Important body functions that are

measured to see if someone is alive or
healthy.
His vital signs are normal.

HCS/120 Version 2
As you progress through your program, you are encouraged to continue to use your weekly vocabulary
exercises to build a master glossary as a quick reference guide to use in your coursework and in your
health care career.

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Weekly Vocabulary Exercise: Health Records and Patient-Related Information

:;University of Phoenix Material

How has it influenced health care?

Definition in your own words

Use the term in a sentence as it

The medical history of a person or patient.

We must first go over the patients

The qualities (such as age, sex, and income)

The number demographic of

Something referring to the body.

She really need to get her body

Legal documents when the patient give

Every patient must be asked if

A determination of the cause of an illness or

Due to the seriousness of his

The prospect of recovery as anticipated

Right now, doctors say

A medical condition that causes

We will give the patients some

A digital version of a patient's paper chart.

Electronic Health Record have

Copyright 2016, 2014 by University of Phoenix. All rights reserved.

Weekly Vocabulary Exercise: Health Records and Patient-Related Information

been part of American health care

A letter written by the doctor that took care of

Before the patient is released, we

Is a technology framework that allows

E-prescribing is faster and easier

Is using certified electronic health records

To demonstrate Meaningful Use

Is the mobilization of health care

The Health Information Exchange

Master patient index

Is an electronic medical database that holds

The Master Patient Index provides

Is a collection of pieces of information

All of our patients information is

Stands for the Health Insurance Portability

Make sure to include each patient

Is the amount of risk or liability that

The patient has the right insurance

Is referred to as protected health information,

Every patient medical information

Check a sample of your blood, urine, or

We are waiting for the lab results

A substance used in treating disease or

The patient needs to bring a list of

Important body functions that are

His vital signs are normal.

Copyright 2016, 2014 by University of Phoenix. All rights reserved.

Weekly Vocabulary Exercise: Health Records and Patient-Related Information

Copyright 2016, 2014 by University of Phoenix. All rights reserved.

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