Basic Scribe Vocabulary Flashcards
1
Q
Chief complaint
A
The main reason for the patient’s outpatient visit
2
Q
EMR/EHR
A
Electronic medical record/electronic health record
3
Q
Subjective
A
Feeling
4
Q
Objective
A
Factual finding from the provider
5
Q
Pain
A
Patient’s feeling of discomfort
6
Q
Tenderness
A
Doctor’s finding of reproducible pain
7
Q
Acute
A
New onset, likely concerning
8
Q
Chronic
A
Longstanding, not of direct concern
9
Q
-itis
A
inflammation
10
Q
-osis
A
disease
11
Q
-ectomy
A
surgical removal
12
Q
nephr
A
kidneys/renal
13
Q
chole
A
gallbladder
14
Q
mast
A
breasts
15
Q
hepa
A
liver
