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what is a clinical terminology

by Dr. Abel Satterfield Published 3 years ago Updated 3 years ago

Clinical Terminology is the system used to code the entire healthcare domain and function as a common reference system that can be coded and queried. Medical Terminology is the language used by health professionals to communicate and understand the components, processes, conditions, and procedures performed on the human body.

Clinical terminology is defined as "standardized terms and their synonyms which record patient findings, circumstances, events, and interventions with sufficient detail to support clinical care, decision support, outcomes research, and quality improvement; and can be efficiently mapped to broader classifications for ...Mar 31, 2009

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What are the most common medical terms?

What is mental health?

  • Risk factors for mental health conditions. Everyone has some risk of developing a mental health disorder, no matter their age, sex, income, or ethnicity.
  • Early signs. There is no physical test or scan that reliably indicates whether a person has developed a mental illness.
  • Treatment. There are various methods for managing mental health problems. ...

What is clinical vocabulary?

When clinical terminologies are used, much of the ambiguity inherent in natural language can be eliminated. A controlled medical terminology or controlled clinical reference terminology is a coded vocabulary of medical concepts and expressions used in health care. It is concept-based and allows for the complex organization and aggregation of clinical information.

What are the medical terminology words?

Yarlalu Thomas says Lyfe Languages is a “universal medical translator” to help translate complex medical terms into Indigenous languages. Mr Thomas said the program has been in development for the past two years. He said while it started with two ...

What is a clinical term?

Medical terminology is language used to precisely describe the human body including its components, processes, conditions affecting it, and procedures performed upon it. Medical terminology is used in the field of medicine.. Medical terminology has quite regular morphology, the same prefixes and suffixes are used to add meanings to different roots.The root of a term often refers to an organ ...

What is clinical terminology system?

Clinical terminology systems are used to code the entire healthcare domain, from procedure to diagnosis and beyond. They function as a common reference system that uses compositional grammar concepts (conversation words) that can be coded and queried.

What is clinical reference terminology?

What is a Clinical Reference Terminology? A reference terminology is defined as "a set of concepts and relationships that provide a common reference point for comparisons and aggregation of data about the entire health care process, recorded by multiple different individuals, systems or institutions."

What is medical terminology?

0:0014:59Medical Terminology - The Basics - Lesson 1 - YouTubeYouTubeStart of suggested clipEnd of suggested clipHey everyone JJ here in this lesson I'm gonna be talking to you guys about medical terminologyMoreHey everyone JJ here in this lesson I'm gonna be talking to you guys about medical terminology medical terminology is like learning like a different language it's and it pretty much is like a

What is medical terminology in healthcare?

Medical terminology refers to the words and phrases used to describe elements of the human body and how they function. Professionals also use it to describe diseases, illnesses, and diagnoses assigned by healthcare professionals.

Why is clinical terminology important?

This language helps medical staff communicate more efficiently and makes documentation easier. This enables staff to save time by ensuring they don't have to explain complex medical condition in plain English and can focus on the treatment of patients.

What is a nursing terminology?

The nursing terminologies provide sets of terms to describe nursing judgments, treatments, and nursing-sensitive patient outcomes.

What are examples of medical terminology?

An example of a medical term with a suffix meaning that describes a condition is pancreatitis. The parts are “pancreas” which is the root, and then “itis” which is the suffix. Pancrea refers to the pancreas. “It is” refers the condition which is inflammation.

What are the most common medical terminology?

Top 25 medical terms to knowNeutrophils: Most common type of white blood cell.Edema: Swelling.Embolism: Blood clot.Sutures: Stitches.Polyp: Mass or growth of thin tissue.Compound fracture: Broken bone that protrudes through the skin.Comminuted fracture: Broken bone that shatters into many pieces.More items...

How do you study medical terminology?

7 Ways to Learn Medical TerminologyGet your Greek (and Latin) on. Nearly all medical terms come from Greek or Latin words. ... See the patterns in words. ... Use Acronyms. ... Imagine it. ... Flash cards. ... Medical Term Bingo. ... Slow and steady. ... Start Your Healthcare Administration Journey Today.

What is the medical terminology for patient?

Patient: A person under health care. The person may be waiting for this care or may be receiving it or may have already received it. There is considerable lack of agreement about the precise meaning of the term "patient." It is diversely defined as, for examples: A person who requires medical care.

Why do nurses need to know medical terminology?

Medical terms are used to accurately describe the condition of the patient and the treatment that they need to undergo. Without proper training and knowledge, the communication between healthcare workers may get confusing and the patient might not get the proper treatment at the end.

What are the 5 basic word parts of medical terminology?

Medical terms are built from word parts. Those word parts are prefix , word root , suffix , and combining form vowel .

Terminology in Healthcare – Different from What You Expect

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Clinical terminology is different from medical terminology. Medical Terminologyrefers to the vocabulary that medical professionals use to describe the body—what it does, diseases that impact it, and procedures to correct it —enabling precise communication among practitioners. Clinical terminologysystems are use…
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Healthcare Terminology, Explained

  • In healthcare, terminologyis much more complicated than in other fields. This complexity is because there needs to be a group of expressions for a large number of permutations and combinations (to borrow a mathematical term) of clinical diagnoses and treatments. If you think of “fracture of the proximal tibia (shinbone)” as one formof many possible tibial injuries, imagin…
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Different Codes For Different End Users

  • Not all functional areas and roles within a health system require the same level of precision when it comes to identifiers for diagnoses and treatments: 1.A physician needs to precisely document a visit in an EMR. They will use a problem list and diagnosis codes. For example, SNOMED CT or customized homegrown codes 2.A lab test is performed during the visit. Codes are assigned an…
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Clinical Terminology

  • Clinical terminology, as its name implies, exists primarily for use by caregivers. Having agreed-upon codes in an EHR systemis important for ensuring a standardized treatment or set of treatment options for a specific medical issue. Assume two patients come into the hospital on different days. Each complains of acute pain in their right leg and has a nearly identical closed fr…
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Clinical Care Classification Codes

  • As stated above, classifications refer to the codes that are used in healthcare environments for billing and accounting. They’re also used for statistical analysis and reporting but are NEVER used to document in EMRs.
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Current Procedural Terminology (CPT) Codes

  • While an ICD code identifies a diagnosis and describes a disease or medical condition, a CPT code describes what was done to the patient during the consultation, including diagnostic, laboratory, radiology, and surgical procedures. Here is a detailed explanationof the difference between ICD and CPT codes. There is a five-digit CPT code on each line item on the bills that pat…
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Managing Clinical Terminology and Classifications

  • As you can see from the above examples, there are a wide variety of code systems across systems. The alphanumeric identifier for “fracture of upper end of tibia” in one system may have nothing in common with the identifier in another. A traditional way of managing the disparities across systems is with the use of spreadsheets. However, spreadsheets involve a lot of manual …
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in Conclusion

  • Clinical terminology and classification are easy concepts to understand, but they’re complicated for an IT department to manage to scale. To reduce billing errors and clinical mishaps, healthcare organizations should be ready to retire spreadsheets and invest time and resources in a dedicated terminology solution.
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