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The Major Diagnostic Categories (MDC) are formed by dividing all possible principal diagnoses (from ICD-9-CM) into 25 mutually exclusive diagnosis areas. MDC codes, like diagnosis-related group (DRG) codes, are primarily a claims and administrative data element unique to the United States medical care reimbursement system. DRG codes also are ...
diagnosis; change: ΔΔ: differential diagnosis (the list of possible diagnoses, and the effort to narrow that list) +ve: positive (as in the result of a test) # fracture: #NOF: fracture to the neck of the femur ℞ (R with crossed tail) prescription: Ψ: psychiatry, psychosis: Σ: sigmoidoscopy: x/12: x number of months x/40: x number of weeks ...
Acronyms Diseases and disorders CA Cancer: CACH Childhood ataxia with central nervous system hypomyelination (see vanishing white matter disease) : CAD Coronary artery disease
Certain medical abbreviations are avoided to prevent mistakes, ... Example: Less common: The diagnosis was C.O.P.D. [chronic obstructive pulmonary disease]
If a patient's disease allows them to miss work, avoid military duty, obtain financial compensation, obtain drugs, avoid a jail sentence, etc., these would be examples of a secondary gain. For instance, an individual having household chores completed by someone else because they have stomach cramps would be a secondary gain. In the context of a ...
For example, for diabetes, HEDIS selects an eligible population based on age (18–75 years), continuous enrollment with a certain health insurer and certain "Events/diagnosis" from pharmacy data (electronic), insurance claims data (electronic) or from medical records. Pharmacy data is based on a list of medications prescribed for diabetes.
It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
This is a list of major and frequently observed neurological disorders (e.g., Alzheimer's disease), symptoms (e.g., back pain), signs (e.g., aphasia) and syndromes (e ...