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Medical Terminology
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What is part of the Operative Report?
Report from surgeon
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Rehabilitation Center setting
provide intensive physical and occupational therapy
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What's part of the discharge summary?
Comprehensive outline of patient's entire hospital stay
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Hospice setting
provides supportive treatment to terminally ill patient's
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What is a Specialty Care hospital?
Provides care for very specific types of diseases
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What's an Acute Care setting?
provides services for a short period of time
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What's included on a Physician's progress note?
daily record of patient's condition, summary of test results, and updated assessment and diagnoses
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What's part of the ancillary report?
A report from various treatments and therapies they have received. Ex rehab, social services and respiratory
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Home Health Care setting
Provides services in patient's own home
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Nursing home setting
long term care for patients who can no longer care for themselves
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Ambulatory Care Surgical centers
provide services that do not require overnight hospitalization
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What's a consultation report?
report written or given by a specialist who has seen the pt
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What's the History & Physical?
Written by admitting physician includes pts history, initial diagnoses and plan of treatment
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What's a Physician's order?
List of care, medications, tests, and treatments ordered for patient
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What's part of the Pathologist's report?
Report given by pathologist who studies tissue removed from patient
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What's included on a Nurses note?
vital signs, treatment, patients' response to treatment and patient's condition
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What's part of a diagnostic report?
Results of diagnostic tests performed such as clinical lab. Ex- blood tests, medical imaging (x-rays and ultrasound)
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Physician's office setting
Provides services in private office setting
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What's an Anesthesiologist's Report?
details of substances given to patient during surgery
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Health Maintenance Organizations (HMO)
provides wide range of services in a prepaid system
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