Term
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Definition
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Term
|
Definition
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Term
|
Definition
heart
(pertaining to the heart) |
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Term
|
Definition
chemical
(treatment with chemical) |
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Term
|
Definition
to cut
(process of cutting into) |
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Term
|
Definition
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Term
|
Definition
small intestine
(pertaining to the small intestine) |
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Term
|
Definition
stomach
(pertaining to the stomach) |
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Term
|
Definition
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Term
|
Definition
blood
(pertaining to the blood) |
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Term
|
Definition
water
(protusion of water [in the scrotum]) |
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Term
|
Definition
immune
(study of immunity) |
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Term
|
Definition
voice box
(pertaining to the voice box) |
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
nerve
(pertaining to a nerve) |
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Term
|
Definition
eye
(pertaining to the eye) |
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Term
|
Definition
ear
(pertaining to the ear) |
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Term
|
Definition
disease
(study of disease) |
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Term
|
Definition
lung
(pertaining to the lungs) |
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Term
|
Definition
nose
(surgical repair of the nose) |
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Term
|
Definition
urine, urinary tract
(study of the urinary tract) |
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Term
|
Definition
without, away from
(without speech) |
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Term
|
Definition
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Term
|
Definition
before, in front of
(before birth) |
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Term
|
Definition
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Term
|
Definition
self
(a graft from one's own body) |
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Term
|
Definition
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Term
|
Definition
painful, difficult
(difficulty breathing) |
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Term
|
Definition
within, inner
(instrument to view within) |
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Term
|
Definition
upon, over
(upon or over the stomach) |
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Term
|
Definition
normal, good
(normal breathing) |
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Term
|
Definition
different
(a graft from another person's body) |
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Term
|
Definition
same
(having two identical genes) |
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Term
|
Definition
over, above
(overdevelopment) |
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Term
|
Definition
under, below
(under the tongue) |
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Term
|
Definition
under, beneath, below
(below, under the eye socket) |
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Term
|
Definition
among, between
(between the vertebrae) |
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Term
|
Definition
within, inside
(inside, within a vein) |
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Term
|
Definition
large
(having a large head) |
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Term
|
Definition
small
(having a small head) |
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Term
|
Definition
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Term
|
Definition
all
(inflammation of all the heart) |
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Term
|
Definition
beside, beyond, near
(near or alongside the nose) |
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Term
|
Definition
through
(through the skin) |
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
before, in front of
(in front of the frontal bone) |
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Term
|
Definition
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Term
|
Definition
backward, behind
(movement in a backward direction) |
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Term
|
Definition
below, under
(under, below the skin) |
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Term
|
Definition
above, excess
(above the normal number) |
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Term
|
Definition
above
(above the pubic bone) |
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Term
|
Definition
rapid, fast
(fast heartbeat) |
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Term
|
Definition
through, across
(across the urethra) |
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Term
|
Definition
beyond, excess
(high-frequency sound waves) |
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Term
|
Definition
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Term
|
Definition
half
(paralysis of one side/half of the body) |
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Term
|
Definition
one
(paralyis of one extremity) |
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Term
|
Definition
many
(woman pregnant more than once) |
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Term
|
Definition
none
(woman with no pregnancies) |
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Term
|
Definition
many
(large amounts of urine) |
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Term
|
Definition
four
(paralysis of all four extremities) |
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Term
|
Definition
partial, half
(partially conscious) |
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Term
|
Definition
three
(muscle with three heads) |
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
hernia, protrusion
(protrusion of the bladder) |
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
dilation
(dilated bronchi) |
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Term
|
Definition
that which produces
(that which produces mutations) |
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Term
|
Definition
produces, generates
(produces bone) |
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Term
|
Definition
producing, produced by
(producing cancer) |
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Term
|
Definition
state, condition
(condition of being half paralyzed) |
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Term
|
Definition
abnormal condition
(abnormal condition of stones) |
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Term
|
Definition
state of
(state of low thyroid) |
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Term
|
Definition
inflammation
(inflammation of cells) |
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Term
|
Definition
one who studies
(one who studies the heart) |
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Term
|
Definition
study of
(study of the heart) |
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Term
|
Definition
destruction
(bone destruction) |
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Term
|
Definition
abnormal softening
(abnormal cartilage softening) |
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Term
|
Definition
enlargement, large
(enlarged heart) |
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Term
|
Definition
tumor, mass
(cancerous tumor) |
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Term
|
Definition
abnormal condition
(abnormal condition of being blue) |
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Term
|
Definition
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Term
|
Definition
development, growth
(abnormal development) |
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Term
|
Definition
formation, development
(new formation) |
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Term
|
Definition
drooping
(drooping rectum) |
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Term
|
Definition
excessive, abnormal flow
(excessive bleeding) |
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Term
|
Definition
discharge, flow
(discharge from the nose) |
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Term
|
Definition
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Term
-sclerosis
(arteriosclerosis) |
|
Definition
hardening
(hardening of an artery) |
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Term
|
Definition
narrowing
(narrowing of a vessel) |
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Term
|
Definition
treatment
(treatment with chemicals) |
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Term
|
Definition
nourishment, development
(excessive development) |
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Term
|
Definition
pertaining to
(pertaining to the heart) |
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Term
|
Definition
pertaining to
(pertaining to the duodenum) |
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Term
|
Definition
pertaining to
(pertaining to the ovary) |
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Term
|
Definition
pertaining to
(pertaining to the ventricle) |
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Term
|
Definition
pertaining to
(pertaining to the lungs) |
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Term
|
Definition
pertaining to
(pertaining to the esophagus) |
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Term
|
Definition
pertaining to
(pertaining to cartilage) |
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Term
|
Definition
pertaining to
(pertaining to the stomach) |
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Term
|
Definition
pertaining to
(pertaining to the study of the nerves) |
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Term
|
Definition
pertaining to
(pertaining to the penis) |
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Term
|
Definition
pertaining to
(pertaining to above) |
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Term
|
Definition
pertaining to
(pertaining to hearing) |
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Term
|
Definition
pertaining to
(pertaining to fat) |
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Term
|
Definition
pertaining to
(pertaining to within a vein) |
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Term
|
Definition
pertaining to
(pertaining to hearing) |
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|
Term
-centesis
(arthrocentesis) |
|
Definition
puncture to withdraw fluid
(puncture to withdraw fluid from a joint) |
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Term
|
Definition
surgical removal
(surgically remove the stomach) |
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Term
|
Definition
surgically create an opening
(surgically create an opening for the colon through the abdominal wall) |
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Term
|
Definition
cutting into
(cutting into the chest) |
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Term
|
Definition
surgical fixation
(surgical fixation of a kidney) |
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Term
|
Definition
surgical repair
(surgical repair of the skin) |
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Term
|
Definition
suture
(suture together muscle) |
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Term
|
Definition
record or picture
(record of heart's electricity) |
|
|
Term
-graph
(electrocardiograph) |
|
Definition
instrument for recording
(instrument for recording the heart's electrical activity) |
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|
Term
-graphy
(electrocardiography) |
|
Definition
process of recording
(process of recording the heart's electrical activity) |
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Term
|
Definition
instrument of measuring
(instrument of measuring hearing) |
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Term
|
Definition
process of measuring
(process of measuring hearing) |
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Term
|
Definition
instrument for viewing
(instrument to view stomach) |
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Term
|
Definition
process of visually examining
(process of visually examining the stomach) |
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Term
|
Definition
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Term
|
Definition
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|
Term
Singular
-ex or -ix
(appendix) |
|
Definition
|
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
The Medical Record:
History and Physical |
|
Definition
| Written or dictated by the admitting physician; details the patient's history, results of the physician's examination, initial diagnoses, and physician's plan of treatment. |
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Term
The Medical Record:
Physician's Orders |
|
Definition
| Complete list of the care, medications, tests, and treatments the physician orders for the patient. |
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Term
The Medical Record:
Nurse's Notes |
|
Definition
| Record of the patient's care throughout the day; includes vital signs, treatment specifics, patient's response to treatment, and patient's condition. |
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Term
The Medical Record:
Physician's Progress Notes |
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Definition
| Physician's daily record of the patient's condition, results of the physician's examinations, summary of test results, updated assessment and diagnoses, and further plans for the patient's care. |
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Term
The Medical Record:
Consultation Reports |
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Definition
| Reports given by specialists whom the physician has asked to evaluate the patient. |
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Term
The Medical Record:
Ancillary Reports |
|
Definition
| Reports from various treatments and therapies the patient has received, such as rehabilitation, social services, or respiratory therapy. |
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|
Term
The Medical Record:
Diagnostic Reports |
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Definition
| Results of diagnostic tests performed on the patient, principally from the clinical lab (for example, blood tests) and medical imaging (for example, X-rays and ultrasound) |
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|
Term
The Medical Record:
Informed Consent |
|
Definition
| Document voluntarily signed by the patient or a responsible party that clearly describes the purpose, methods, procedures, benefits, and risks of a diagnostic or treatment procedure. |
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Term
The Medical Record:
Operative Report |
|
Definition
| Report from the surgeon detailing an operation: includes a pre- and postoperative diagnosis, specific details of the surgical procedure itself, and how the patient tolerated the procedure. |
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Term
The Medical Record:
Anesthesiologist's Report: |
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Definition
| Relates the details regarding the substances (such as medications and fluids) given to a patient, the patient's response to anesthesia, and vital signs during surgery) |
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|
Term
The Medical Record:
Pathologist's Report |
|
Definition
| Report given by a pathologist who studies tissue removed from the patient (for example, bone marrow, blood, or tissue biopsy). |
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Term
The Medical Record:
Discharge Summary |
|
Definition
| Comprehensive outline of the patient's entire hospital stay; includes condition at time of admission, admitting diagnosis, test results, treatments and patient's response, final diagnosis, and follow-up plans. |
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Term
Healthcare Settings:
Acute Care or General Hospitals |
|
Definition
| Provide services to diagnose (laboratory, diagnostic imaging) and treat (surgery, medications, therapy) diseases for a short period of time; in addition, they usually provide emergency obstetrical care. |
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Term
Healthcare Settings:
Specialty Care Hospitals |
|
Definition
| Provide care for very specific types of diseases; for example, a psychiatric hospital. |
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|
Term
Healthcare Settings:
Nursing Homes or Long-Term Care Facilities |
|
Definition
| Provide long-term care for patients who need extra time to recover from an illness or injury before returning home, or for persons who can no longer care for themselves. |
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Term
Healthcare Settings:
Ambulatory Care, Surgical Centers, or Outpatient Clinics |
|
Definition
| Provide services that do not require overnight hospitalization; the services range from simple surgeries to diagnostic testing or therapy. |
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|
Term
Healthcare Settings:
Physicians' Offices |
|
Definition
| Provide diagnostic and treatment services in a private office setting. |
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|
Term
Healthcare Settings:
Helath Maintenance Organization (HMO) |
|
Definition
| Provides a wide range of services by a group of primary-care physicians, specialists, and other healthcare professionals in a prepaid system. |
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Term
Healthcare Settings:
Home Health Care |
|
Definition
| Provides nursing, therapy, personal care, or housekeeping services in the patient's own home. |
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|
Term
Healthcare Settings:
Rehabilitation Centers |
|
Definition
| Provide intensive physical and occupational therapy; they include inpatient and outpatient treatment. |
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Term
Healthcare Settings:
Hospice |
|
Definition
| Provides supportive treatment to terminally ill patients and their families. |
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|
Term
HIPAA
Health Insurance Portability and Accountability Act of 1996 |
|
Definition
| Set federal standards that provide patients with more protection of their medical records and health information, better access to their own records, and greater control over how their health information is used and to whom it is disclosed. |
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