Chapter 1 Key terms. Medical terminology: A living language. Fourth edition. Flashcards
ambulatory care center
“aka”
surgical center or outpatient clinic
ambulatory care center
A facility that provides services that do not require overnight hospitalization. The services range from simple surgeries, to diagnostic testing, to therapy.
Also called Surgical center or outpatient clinic.
acute care hospital
“aka”
general hospital.
acute care hospital
Hospitals that typically 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 and obstetrical care.
Also called general hospital.
ancillary report
ancillary report
Reports in a patient’s medical record from various treatments and therapies the patient has received, such as rehabilitation, social services, respitory therapy, or from the dietician.
anesthesiologist’s report
anesthesiologist’s report
A medical record document that related the details regarding the drugs given to a patient and the patient’s response to anesthesia and vital signs during surgery.
combining form
combining form
The word root plus the combining vowel. It is always written with a / between the word root and the combining vowel. For example, in the combining form cardi/o, cardi is the word root an /o is the combining vowel.
combining vowel
combining vowel
A vowel inserted between word parts that makes it possible to pronounce long medical terms. It is usually the vowel o.
consultation report
consultation report
Documents in a patients’s medical record. They are the reports given by specialists who the physician has requested to evaluate the patient.
diagnostic reports
diagnostic reports
Found in a patients medical record. It consist of the results of all diagnostic tests performed on the patient, principally from the lab and medical imaging (for example, X-ray and ultrasound).
discharge summary
discharge summary
Parts of a patient’s medical record. It is a comprehensive outline of the patient’s entire hospital stay. It includes condition at time of admission, admitting diagnosis, test results, treatments and patient’s response, final diagnosis, and follow-up plans.
general hospital
“aka”
acute care hospital
general hospital
Hospitals that typically 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 and obstetrical care.
Also called an acute care hospital.
heath maintenance organization (HMO)
heath maintenance organization (HMO)
An organization that contracts with a group of physicians and other health care workers to provide care exclusively for its members. The HMO pays the health care workers a prepaid fixed amount per member whether that member requires medical attention or not.
History and physical
History and physical
Medical record document written by the admitting physician’s. It details the patients history, results of the physician’s examination, initial diagnoses, and physician’s plan of treatment.
home healthcare
home healthcare
Agencies that provide nursing, therapy, personal care, or housekeeping services in the patient’s own home.
hospice
hospice
An organized group of heath care workers that provide supportive treatment to dying patients and their families.
informed consent
informed consent
A medical record 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.
long-term care facilities
“aka”
nursing home
long-term care facilities
A facility that provides long-term care for patients who need extra time to recover from an illness or accident before they return home or for persons who can no longer care for the selves.
Also called a nursing home.
medical record
“aka”
chart
medical record
Documents that details of a patient’s hospital stay. Each health care professional that has contact with the patient in any capacity completes the appropriate report of that contact and adds it to the medical chart. This results in a permanent physical record of the patients’s day to day condition, when and what services he or she receives, and the response to treatment.
Also called a chart.
nurse’s notes
nurse’s notes
Medical record document that records the patients care throughout the day. It includes vital signs, treatment specifics, patient’s response to treatment, and patient’s condition.
nursing homes
“aka”
long-term care facility
nursing homes
A facility that provides long-term care for patients who need extra time to recover from an illness or accident before they return home or for persons who can no longer care for the selves.
Also called a long-term care facility.
operative report
operative report
A medical record from the surgeon detailing an operation, It includes a pre- and post-procedure itself, and how the patient tolerated the procedure.
outpatient clinics
“aka”
ambulatory care center or a surgical center.
outpatient clinics
A facility that provides services that do not require overnight hospitalization. The service range from simple surgeries to diagnostic testing to therapy.
Also called an ambulatory care center or a surgical center.
pathologist’s report
pathologist’s report
A medical record report given by a pathologist who studies tissue removed from the patient (for example: bone marrow, blood, or tissue biopsy).
physicians’ office
physicians’ office
Individual or groups of physicians providing diagnostic and treatment services in a private office setting rather than a hospital.
physician’s orders
physician’s orders
Medical record document that contains a complete list of the care, medications, tests, and treatments the physician orders for the patient
physician’s progress notes
physician’s orders
Part of a patients’s medical record. It is the physician’s daily record of the patient’s condition results of the physician’s examinations, summary of test results updated assessment an diagnoses, and further plans for the patient’s care.
prefix
prefix
A word part added in front of the word root. It frequently gives information about the location of the organ, the number of parts or the time (frequency). Not all medical terms have a prefix.
rehabilitation center
rehabilitation center
Facilities that provide intensive physical and occupational therapy. They include inpatient and outpatient treatment.
specialty care hospitals
specialty care hospitals
Hospitals that provide care for specific types of disease, A good example is a psychiatric hospital.
suffix
suffix
A word part attached to the end of a word. It frequently indicates a condition, disease, or procedure. Almost all medical terms have a suffix.
surgical center
“aka”
ambulatory care center or and outpatient clinic
surgical center
A facility that provides services that range form simple surgeries to diagnostic testing to therapy and do not require overnight hospitalization.
Also called and ambulatory care center or and outpatient clinic.
word root
word root
The foundation of a medical term that provides the basic meaning of the word, In general, the word root will indicate the body system or part of the body that is being discussed . A word may have more than one word root.
