Medical Terminology Health Record Medical Assistant 3

Age of majority: The age of majority is the threshold of adulthood as recognized or declared in

law. It is the moment when minors cease to be considered such and assume legal control over

their persons

Alleviate: to make (as symptoms) less severe or more bearable 

alphabetic filing: System in which files are arranged in alphabetic order Records management
system - Way patient records are created, filed, and maintained

alphanumeric: a combination of alphabetical and numerical characters. 

Augment: to increase in size, amount, degree, or severity

Caption: A system of medical reimbursement wherein the provider is paid an annual fee per

covered patient by an insurer or other financial source, which aggregate fees are intended to

reimburse all provided services.

computerized provider physician order entry (CPOE): a process of electronic entry of medical

practitioner instructions for the treatment of patients (particularly hospitalized patients) under his

or her care.

Continuity of care: It’s quality of care over a period of time. These practice support of the

development of strong positive relationships and a secure base for exploration and learning.

Attachment security significantly contributes to children’s long-range social-emotional

development and self-confidence.

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Culpability: deserving blame for a crime or wrongdoing

Dictation: An oral record of a patient's care created by a health care professional that is used by a

medical transcriptionist to create a printed record.

direct filing system: direct billing Managed care The submission of bills for services rendered

E prescribing: a technology framework that allows physicians and other medical practitioners to

write and send prescriptions to a participating pharmacy electronically instead of using

handwritten or faxed notes or calling in prescriptions.

electronic health record: an electronic version of a patients medical history, that is maintained by

the provider over time, and may include all of the key administrative clinical data relevant to that

persons care under a particular provider, including demographics, progress notes, problems,

medications, vital signs, past medical history

electronic medical record: a digital medical record that either originates from an electronic

format or is converted from paper or hard copy to an online version. An EMR includes

information about a specific patient, including: Patient contact information, including emergency

contact

gleaned: a transient appearance of subdued or partly obscured light

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indirect filing system: a unit numbering system, is used the handle rapidly growing files in

hospitals, clinics, and large medical practices why numerical filing is called "indirect" a cross-

reference index is used to determine a patient's assigned number before locating a file, called a

numerical file register

interoperability: the ability of different information technology systems and software

applications to communicate, exchange data, and use the information that has been exchanged.

Microfilm: A photographic film bearing greatly reduced images of printed records

numeric filing: Straight numeric filing refers to records being filed in exact ascending order

based on the number of medical records.

objective information: an estimate of the client ’s projected length of hospital stay obtained by

the ICF / MR from a hospital staff person.

Obliteration: complete removal, as by disease, degeneration, surgical procedure, or irradiation, or

by the filling up of a space with fibrous tissue or inflammation.

out guide: a helpful filing system tool to identify and control x-ray files that have been removed

from the filing area. When a file is removed or “checked out,” an out guide is used in its place to

alert personnel that the file is being used.

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Parameters: One of a set of measurable factors, such as temperature and pressure, that define a

system and determine its behavior and are varied in an experiment. 

patient portal: healthcare -related online applications that allow patients to interact and

communicate with their healthcare providers, such as physicians and hospitals.

personal health record

press board: A heavy glazed paper or pasteboard used especially to cover the platen or cylinder

of a printing press.

provisional diagnosis yeah:  a doctor is not 100% sure of a diagnosis because more information

is needed. With a provisional diagnosis, a doctor makes an educated guess about the diagnosis

you most likely have.

Purging: the act of getting rid of food from your body, for example in order to stop yourself

gaining weight, either by making yourself vomit or by using laxatives

quality control: the final line in the medical device manufacturing process

reasonable cause: Reasonable cause means a person witnesses or receives a credible written or

oral report alleging abuse, including sexual contact, or neglect of a child.

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reasonable diligence: It means the care and attention that is expected from and is ordinarily

exercised by a reasonable and prudent person under the circumstances. 

Requisites: An order for a specific laboratory service or test

retention schedule: a list of the types of records created and received by an institution.

reverse chronological order: puts things in order from the most recent first to the earliest last.

subjective information: a general rule of thumb is that a symptom is subjective, while a sign is

objective. 

subpoena duces tecum: A process used in litigation that compels the party having control of

documents, items, and materials relevant to issues in a lawsuit to produce them at a designated

time and place.

tickler file: a filing system that makes it easy for you to get hold of whatever you need, whenever

you need it

vested: Better Surgery.

willful negligence: intentional, or reckless and can be said to reflect a “couldn’t care less

attitude” towards those that care is provided. The offence of willful neglect is a conduct offence
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and the health care worker can be found guilty even if the intentional negligence did not cause

any harm.