| 영문 | medical record | 한글 | 의무기록 |
|---|---|---|---|
| 설명 | 의무기록은 법적으로 보호를 받게 되어 있으며, 특히 진료기록부와 수술기록부는 10년간 보존을 하도록 법에 명시되어 있다. 또한 법에 의한 경우가 아니고서는 타인에게 보여지지 않도록 되어 있다. 그러나, 환자의 진료를 위하여, 다른 의사의 요구가 있으면, 이를 보여주도록 되어 있다. |
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| 영문 | electronic medical record(EMR) | 한글 | 전자의무기록 |
|---|---|---|---|
| 설명 | 의사가 종이 대신 컴퓨터에 직접 환자의 임상정보를 입력하면 이를 데이터베이스화하여 새로운 정보로 가공-생성하는 의료정보시스템. 환자의 진료기록을 찾아 진료실에 전달하고 다시 처방전을 받아 조제하는 일련의 과정이 네트워크로 처리돼 환자대기시간이 대폭 줄고, 별도의 진료기록실이 불필요하다. |
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| 영문 | medical examination | 한글 | 의학적 검사 |
|---|---|---|---|
| 설명 | 1. 건강의 유지와 증진, 병의 조기 발견이나 예방 따위를 위해서 심신의 상태를 검사하는 일. 2. 의사나 치과의사가 자각적-타각적으로 건강한 사람에 대하여 그 건강 상태를 진찰하는 일. 건강을 유지하기 위해서는 질병의 진단과 치료가 필요하지만, 치료에 있어서도 자각증상이나 타각증상이 있고 나서 손을 쓰다 보면 이미 때가 늦을 경우가 많으므로, 발병 초기에 조기진단을 함으로써 건강생활을 적극적으로 설계하려는 데에 의의가 있는 것이다. 건강진단을 크게 나누면, 개인적 건강유지를 위한 것과, 국민 전체의 건강유지를 위하여 행정적으로 특정한 대상자에게 의무적으로 하는 것이 있는데, 후자의 경우를 ‘정기건강진단’이라고 한다. 근로보건관리규정에는 위생상 유해한 직장의 종업원은 연2회 이상의 건강진단을 필요로 하고 있으며, 그 밖의 직장에서는 연1회 이상으로 규정하고 있다. 학교보건법에서는 매년 학생과 교직원의 신체검사를 하게 되어 있고, 결핵예방법에서는 모든 국민은 연1회 이상 결핵에 관한 건강진단을 받도록 되어 있으며, 모자보건법에서는 임신부와 영유아에 대한 건강진단을 규정하고 있다. 이 밖에 접객업소에서도 전염병-피부병에 관한 건강진단을 받아야 한다는 규정이 업종별로 정해져 있다. |
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| PMR | patient meta-record; perinatal mortality rate; periodic medical review; physical medicine and rehabi... |
|---|---|
| EMR | educable mentally retarded; electromagnetic radiation; electronic medical record; emergency mechanic... |
| POR | patient-oriented research; physician of record; postocclusive oscillatory response; prevalence odds ... |
| MS | Maffuci syndrome; maladjustment score; mandibular series; Marfan syndrome; Marie-Strumpell [syndrome... |
| CMR | cardiomodulorespirography; cerebral metabolic rate; chief medical resident; common medical record; c... |
| EMR | Electronic Medical Record |
|---|---|
| POMR | Problem Oriented Medical Record |
| CPR | Computerised Patient Record |
| EPR | Electronic Patient Record |
| ORLS | Oxford Record Linkage Study |
record
| medical record administrators | Individuals professionally qualified in the management of patients' records. Duties may include planning, designing, and managing systems for patient administrative and clinical data, as well as patient medical records. The concept includes medical record technicians. (12 Dec 1998) |
|---|---|
| medical record linkage | The creation and maintenance of medical and vital records in multiple institutions in a manner that will facilitate the combined use of the records of identified individuals. (12 Dec 1998) |
| medical records | Recording of pertinent information concerning patient's illness or illnesses. (12 Dec 1998) |
| medical records department, hospital | Hospital department responsible for the creating, care, storage and retrieval of medical records. It also provides statistical information for the medical and administrative staff. (12 Dec 1998) |
| medical records systems, computerised | Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record. (12 Dec 1998) |
| medical records, problem-oriented | The structuring of a patient's record according to a complete listing of his medical problems accompanied by progress notes for each problem. (12 Dec 1998) |
| anaesthesia record | A written account of drugs administered, procedures undertaken, and physiologic responses during the course of surgical or obstetrical anaesthesia. (05 Mar 2000) |
|---|---|
| record | 1. To recall to mind; to recollect; to remember; to meditate. "I it you record." 2. To repeat; to recite; to sing or play. "They longed to see the day, to hear the lark Record her hymns, and chant her carols blest." (Fairfax) 3. To preserve the memory of, by committing to writing, to printing, to inscription, or the like; to make note of; to write or enter in a book or on parchment, for the purpose of preserving authentic evidence of; to register; to enroll; as, to record the proceedings of a court; to record historical events. "Those things that are recorded of him . . . Are written in the chronicles of the kings." (1 Esd. I. 42) To record a deed, mortgage, lease, etc, to have a copy of the same entered in the records of the office designated by law, for the information of the public. Origin: OE. Recorden to repeat, remind, F. Recorder, fr. L. Recordari to remember; pref. Re- re- + cor, cordis, the heart or mind. See Cordial, Heart. Source: Websters Dictionary (01 Mar 1998) |
| record base | <cell biology> A hypothetical cell adhesion molecule possibly involved in sponge cell adhesion, existence unproven. (18 Nov 1997) |
| record of decision | (ROD) The decision document for an environmental impact statement (EIS). Separate from the EIS itself, this document states the decision, states the reasons for the decision, identifies all alternatives, and states compliance with applicable laws. (05 Dec 1998) |
| record rim | Occluding surfaces built on temporary or permanent denture bases for the purpose of making maxillomandibular relation records and for arranging teeth. Synonym: bite rim, occlusal rim, record rim. (05 Mar 2000) |
| maxillomandibular record | A record of the relation of the mandible to the maxillae, the act of recording the relation of the mandible to the maxillae. Synonym: biscuit bite, maxillomandibular registration. (05 Mar 2000) |
| centric interocclusal record | A record of centric jaw relation, eccentric interocclusal record, a record of jaw position in other than centric relation, lateral interocclusal record, a record of a lateral eccentric jaw position; and (05 Mar 2000) |
| preextraction record | In dentistry, any record made for the purpose of study or treatment planning. See: diagnostic cast. Synonym: preextraction record. (05 Mar 2000) |
| preoperative record | In dentistry, any record made for the purpose of study or treatment planning. See: diagnostic cast. Synonym: preextraction record. (05 Mar 2000) |
| problem-oriented record | A system of record keeping in which a list of the patient's problems is made and all history, physical findings, laboratory data, etc. Pertinent to each problem are placed under that heading; especially useful for out-patient records of patients with multiple problems who are followed for long periods. (05 Mar 2000) |
| profile record | A registration or record of the profile of a patient. (05 Mar 2000) |
| protrusive interocclusal record | A record of a protruded eccentric jaw position. Synonym: checkbite. (05 Mar 2000) |
| protrusive record | A registration of a forward position of the mandible with reference to the maxillae. (05 Mar 2000) |
| hospital record | The medical record generated during a period of hospitalization, usually including written accounts of consultants' opinions, physician observations, as well as nurses' observations and treatments. (05 Mar 2000) |
| interocclusal record | A record of the positional relationship of the teeth or jaws to each other, recorded by placing a plastic material which hardens (such as plaster of Paris, wax, etc.) between the occlusal surfaces of the rims or teeth; the hardened material serves as the record; it may be registered in centric or eccentric positions, as (05 Mar 2000) |
Synonyms : Librarians, Medical Record, Medical Record Librarians, Medical Record Technicians, Technicians, Medical Record, Administrator, Medical Record, Administrators, Medical Record, Librarian, Medical Record, Medical Record Administrator, Medical Record Librarian
Synonyms : Linkage, Medical Record, Linkages, Medical Record, Medical Record Linkages, Record Linkages, Medical
Synonyms : Records, Medical, Transcription, Medical, Diaries, Health, Diary, Health, Health Diary, Health Record, Personal, Medical Record, Medical Transcriptions, Personal Health Record, Personal Health Records, Record, Medical, Record, Personal Health
Synonyms : Medical Records Department, Department, Medical Records, Departments, Medical Records, Medical Records Departments, Records Department, Medical, Records Departments, Medical
Synonyms : Automated Medical Record System, Automated Medical Record Systems, Automated Medical Records System, Computerized Medical Record, Computerized Medical Record System, Computerized Medical Record Systems, Computerized Medical Records
| medical record |
medical history: the case history of a medical patient as recalled by the patient
출처: wordnet.princeton.edu/perl/webwn
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| medical record |
Histories, reports, diagnoses, prognoses, interpretations, and other data or records, written or electronic, that pertain to a patient
출처: www.setnlegalservices.org/glossary.htm
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| medical record technician |
A technician who assists the medical record administrator by coding, analyzing, and preserving patients' medical records and compiling reports, disease indices, and statistics in health care institutions.
출처:
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| medical record, problem-oriented |
SEE: problem-oriented medical record.
출처:
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| medical record |
A written or electronic account of a patient's medical history, current illness, diagnosis, details of treatments, chronological progress notes, and discharge recommendations. This is a legal document the patient is entitled to read and is authenticated by the physician's signature. There are strict rules regarding the confidentiality of the medical record.
출처: www.vpaweb.com/About/glossary/default.asp
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| medical record | the case history of a medical patient |
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|