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| the foundation of the word |
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| at the beginning of the word |
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| a vowel (usually o) that links the word root to another root or a suffix |
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| puncture to withdraw fluid |
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| surgically create an opening |
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| process of visually examining |
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| 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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| A complete list of the care, medications, tests, and treatments the physician orders for the patient |
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| 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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| Physician's Progress Notes |
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| The physician's daily record of the patient's condition, results of the physician's examinations, summary of the test results, updated assessment and diagnoses, and further plans for the patient's care |
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| The report given by a specialist whom the physician has asked to evaluate the patient |
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| Reports from various treatments and therapies the patient has received, such as rehabilitation, social services, or respiratory therapy |
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| Results of all diagnostic tests performed on the patient, principally from the lab and medical imaging (for example, X-rays and ultrasound) |
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| A 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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| 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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| Anesthesiologist's Report |
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| Relates the details regarding the drugs given to a patient, the patient's response to anesthesia, and vital signs during surgery |
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| The report given by a pathologist who studies tissue removed from the patient (for example, bone marrow, blood, or tissue biopsy) |
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| A 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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| Acute Care or General Hospitals |
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| These hospitals 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. |
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| These hospitals provide care for very specific types of disease. A good example is a psychiatric hospital. |
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| Nursing Homes or Long-Term Care Facilities |
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| These facilities provide long-term care for patients who need extra time to recover from an illness or injury before they return home, or for persons who can no longer care for themselves. |
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| Ambulatory Care, Surgical Centers or Outpatient Clinics |
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| These facilities provide services that do not require overnight hospitalization. The services range from simple surgeries to dianostic testing or therapy. |
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| Individual or groups of physicians providing diagnostic and treatment services in a private office setting. |
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| Health Maintenance Organizations |
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| A group of primary-care physicians, specialists, and other health care professionals who provide a wide range of services in a prepaid system. |
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| Agencies that provide nursing, therapy, personal care, or housekeeping serices in the patient's own home. |
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| These facilities provide intensive physical and occupational therapy. They include inpatient and outpatient treatment. |
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| An organized group of health care workers who provide supportive treatment to dying patients and their families. |
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