TERMIUM Plus®
The Government of Canada’s terminology and linguistic data bank.
HEALTH RECORD [1 record]
Record 1 - internal organization data 2010-05-21
Record 1, English
Record 1, Subject field(s)
- Medical and Hospital Organization
- Medical and Dental Services (Military)
Record 1, Main entry term, English
- health record 1, record 1, English, health%20record
Record 1, Abbreviations, English
- Hlth Rcd 2, record 1, English, Hlth%20Rcd
Record 1, Synonyms, English
Record 1, Textual support, English
Record number: 1, Textual support number: 1 OBS
Hlth Rcd: abbreviation used by the Department of National Defence. 2, record 1, English, - health%20record
Record 1, French
Record 1, Domaine(s)
- Organisation médico-hospitalière
- Service de santé et service dentaire (Militaire)
Record 1, Main entry term, French
- dossier médical
1, record 1, French, dossier%20m%C3%A9dical
masculine noun
Record 1, Abbreviations, French
- DM 1, record 1, French, DM
masculine noun
Record 1, Synonyms, French
- dossier de santé 2, record 1, French, dossier%20de%20sant%C3%A9
masculine noun
Record 1, Textual support, French
Record 1, Spanish
Record 1, Campo(s) temático(s)
- Organización médica y hospitalaria
- Servicios médico y dental (Militar)
Record 1, Main entry term, Spanish
- historia clínica
1, record 1, Spanish, historia%20cl%C3%ADnica
correct, feminine noun
Record 1, Abbreviations, Spanish
Record 1, Synonyms, Spanish
- expediente clínico 2, record 1, Spanish, expediente%20cl%C3%ADnico
correct, masculine noun
- historial médico 3, record 1, Spanish, historial%20m%C3%A9dico
correct, masculine noun
- historial clínico 3, record 1, Spanish, historial%20cl%C3%ADnico
correct, masculine noun
Record 1, Textual support, Spanish
Record number: 1, Textual support number: 1 DEF
Documento privado, personal, que posee determinadas características éticas, legales, docentes, estadísticas y médicas; [es un] registro de datos médicos sobre el diagnóstico, terapia y evolución de la enfermedad del paciente; [...] también recoge la opinión del profesional sobre la evolución de la enfermedad, las opiniones de otros facultativos cuando existen inter-consultas o los cambios de terapia según las evaluaciones que realice el titular. 2, record 1, Spanish, - historia%20cl%C3%ADnica
Record number: 1, Textual support number: 1 CONT
La asistencia a los pacientes tanto hospitalizados como ambulatorios genera una serie de información médica y administrativa sobre los mismos. Dicha información se registra en varios documentos, siendo el conjunto de estos documentos lo que constituye la historia clínica. La historia clínica debe ser única, integrada y acumulativa para cada paciente en el hospital, debiendo existir un sistema eficaz de recuperación de la información clínica. 4, record 1, Spanish, - historia%20cl%C3%ADnica
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