| Question | Answer |
|---|---|
| alphabetical filing system | organization of medical records by patient or client identification number and color coding |
| assessment | veterinary diagnosis of problem |
| cage card | identification and location of patient while in the care of facility |
| client | the owner of the animal |
| color code | method used to file medical records for visual ease of use |
| confidentiality | maintenance of privacy of medical information |
| consent form | permission given by owner to treat animal |
| health certificate | documentation that an animal is in good health and can be transported out of state or county |
| medical record | written and recorded information on the care and treatment of the animal |
| neuter certificate | documentation that animal has been spayed or castrated and is not longer able to reproduce |
| numerical filing system | organization of medical records by client or patient last name |
| objective information | measured facts, example vital signs |
| patient | the animal being treated |
| plan | treatments or procedures provided |
| progress notes | documentation chronologically detailing the patients history, treatment, and outcomes |
| rabies certificate | documentation the animal has received proper vaccination for rabies |
| SOAP | subjective information, objective information, assessment, plan, one method used for documentation in the medical record |
| subjective information | observations of the animal's appearance and behavior made by the vet staff |
| Veterinary Client patient relationship (VCPR) | relationship established between patient, client, and veterinary staff based on trust, expertise, and duty to care for an animal |
