My Blog Glossary

5 Medical Records Management terms

Access: verb; obtain, examine, or retrieve (data or a file).; Example: The client gave his permission for me to work with him and to access his notes for the purpose of an academic assignment.
Analysis: noun; detailed examination of the elements or structure of something.; Example: Family history: Nothing significant. analysis of history; fr: Analyse
Archives: noun; a collection of historical documents or records providing information about a place, institution, or group of people.; Example: 'Extensibility and Stiffness of the Hamstrings in Patients with Nonspecific Low Back Pain.' archives of Physical Medicine and Rehabilitation; fr: Archives
Coding: noun; the process of assigning a code to something for classification or identification.; Example: Strategies included coding checks, whereby interview transcripts were analysed and coded by the lead investigator.; fr: Codage
File: noun; a folder or box for holding loose papers that are typically arranged in a particular order for easy reference.; Example: Reference list kept in separate file not available.; fr: dossier