terminology and abbreviations
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| chief complaint | reason the patient seeks medical care
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| diagnosis | physician's objective analysis of illness or injuries
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| eponyms | conditions or procedures named after a person or place
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| principal diagnosis | illness or injury that represents the outpatient's major health problem
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| acute condition | sudden or severe illness or disease
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| chronic condition | long term illness or disease
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| tabular list | ICD-9-CM codes presented in numerical order with additional explanations and specifics
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| DOB | date of birth
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| Dx | diagnosis
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| CPT | Current Procedural Terminology
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| V-codes | ICD-9-CM codes used when a person who is not currently sick encounters health services for a specific purpose
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| E-codes | diagnostic codes for exernal causes of injury
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| established patient | a patient who has an established chart and has received medical services within the last three years
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| cross reference | ICD-9-CM Alphabetical Index which indicates where else to look for additional anatomical sites, or main terms
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| diagnosis code | number used to identify a specific medical condition
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| new patient | A patient who has never received care from the provider or it has bee more than three years since receiving care
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| inpatient | patient admitted to a hospital for an overnight stay
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| main term | organized alphabetic index written in bold
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| outpatient | patient gets tests or treatment in the hospital and stays for 23 hours or less, usually not overnight
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| sub-term | diagnostic term indented under the main term
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| ICD-9-CM | International Classification of Diseases, Ninth Revision, Clinical Modification
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| NEC | not elsewhere classified
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| NOS | not otherwise specified
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Created by:
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