| A | B |
|---|
| abbreviation | a shortened form of a word or phrase |
| assessment | a test of ability or state of being |
| data | statisical information |
| evaluation | a study of the situation or patient's condition |
| goal | a objective or purpose |
| health care plan | written guideslines for providing care |
| medical diagnosis | identification of the physical condition of a patient by the medical personnel |
| observation | viewing, watching |
| recording | a written document of a patient's information |
| reporting | giving information about something usually in a chart |
| signs | evidence of disease or disorder |
