TERMIUM Plus^®

Record 1,  Textual support,  English

Record number: 1, Textual support number: 1 CONT

... cancer registrars capture a complete summary of the history, diagnosis, treatment, and disease status for every cancer patient. Registrars’ work leads to better information that is used in the management of cancer, and ultimately, cures.  1, record 1, English, - cancer%20registrar

Record 1,  Textual support,  French

Record 1,  Textual support,  Spanish

Record 2,  Textual support,  English

Record number: 2, Textual support number: 1 CONT

[The public health official] said the health unit is investigating the man's history, including 12 individuals who are considered close contacts. A close contact can include a wide range of circumstances, including being seated near the patient or having physical contact...  2, record 2, English, - close%20contact

Record 2,  Textual support,  French

Record number: 2, Textual support number: 1 CONT

Une recherche des contacts étroits de la personne infectée est en cours afin d'appliquer les mesures de protection nécessaires dans la communauté. Les recommandations appropriées seront données aux personnes concernées.  2, record 2, French, - contact%20%C3%A9troit

Record 2,  Textual support,  Spanish

Record 3,  Textual support,  English

Record number: 3, Textual support number: 1 DEF

A record of past medical problems and treatments that a person has had.  3, record 3, English, - medical%20history

Record number: 3, Textual support number: 1 PHR

review of medical history  4, record 3, English, - medical%20history

Record 3,  Textual support,  French

Record number: 3, Textual support number: 1 CONT

Un dossier de santé électronique (DSE) est un dossier sécurisé de vos antécédents médicaux depuis [la] naissance.  3, record 3, French, - ant%C3%A9c%C3%A9dents%20m%C3%A9dicaux

Record number: 3, Textual support number: 1 PHR

examen des antécédents médicaux  4, record 3, French, - ant%C3%A9c%C3%A9dents%20m%C3%A9dicaux

Record 3,  Textual support,  Spanish

Record 4,  Textual support,  English

Record number: 4, Textual support number: 1 DEF

A medical... patient case history, particularly using the patient's recollections.  2, record 4, English, - anamnesis

Record 4,  Textual support,  French

Record 4,  Textual support,  Spanish

Record number: 4, Textual support number: 1 DEF

Conjunto de datos e informaciones del paciente anteriores a la enfermedad.  3, record 4, Spanish, - anamnesis

Record 5,  Textual support,  English

Record number: 5, Textual support number: 1 CONT

An ophthalmic assistant works directly with patients as well as with patient records in an ophthalmology office. In general, an ophthalmic assistant meets with a patient before their scheduled appointment to take the patient's history concerning their general health and the health of their eyes. The ophthalmic assistant also usually asks patients if they have particular concerns they want to address with the ophthalmologist and if they have a preference for glasses or contacts(if needed). Ophthalmic assistants must also be able to record the information obtained during the patient encounter in the patient's chart accurately.  2, record 5, English, - ophthalmic%20assistant

Record 5,  Textual support,  French

Record 5,  Textual support,  Spanish

Record 6,  Textual support,  English

Record number: 6, Textual support number: 1 DEF

A person trained to portray a patient scenario, or an actual patient using their own history and physical exam findings, for the instruction, assessment, or practice of communication and/or examining skills of a health care provider.  1, record 6, English, - simulated%20patient

Record 6,  Textual support,  French

Record number: 6, Textual support number: 1 CONT

Un patient simulé est une personne qui apprend un rôle, à l'aide d'un scénario, en vue d'une prestation dans un examen donné. Ce scénario fait référence à une histoire médicale la plus réelle possible.  3, record 6, French, - patient%20simul%C3%A9

Record 6,  Textual support,  Spanish

Record 7,  Textual support,  English

Record number: 7, Textual support number: 1 DEF

A story or an account of a series of events.  2, record 7, English, - narrative

Record number: 7, Textual support number: 1 CONT

The objective of the narrative is to summarize all relevant clinical and related information, including patient characteristics, therapy dates, medical history, clinical course of the event(s), diagnosis...  3, record 7, English, - narrative

Record 7,  Textual support,  French

Record number: 7, Textual support number: 1 DEF

[...] exposé détaillé d'une suite de faits.  3, record 7, French, - expos%C3%A9%20de%20faits

Record number: 7, Textual support number: 1 CONT

L'exposé de faits a pour objectif de résumer tous les renseignements cliniques pertinents et connexes, incluant les particularités des patients, les dates de traitement, les antécédents médicaux, l'évolution clinique des événements, le diagnostic [...]  4, record 7, French, - expos%C3%A9%20de%20faits

Record 7,  Textual support,  Spanish

Record 8,  Textual support,  English

Record number: 8, Textual support number: 1 CONT

The practice of classical or unicist homeopathy involves a detailed case-taking by the homeopath where the patient is examined and listened to while they explain in as much detail as possible their present symptoms, thoughts and feelings and the past history which has led up to the present reason for consulting the homeopath. After recording the patient's case the homeopath will analyse the whole picture and by comparing the symptoms to the known remedies in the ’materia medica’ seek to find the single remedy which best covers the patient's expressed symptoms mental, emotional and physical.  1, record 8, English, - unicist%20homeopathy

Record 8,  Textual support,  French

Record number: 8, Textual support number: 1 CONT

Homéopathie uniciste/classique [...] En homéopathie, le symptôme pathologique n’est pas la maladie, il n’est que la partie apparente de l’iceberg. L’homéopathe uniciste prescrit un seul remède à la fois, choisi d’après les réactions personnelles du patient.  1, record 8, French, - hom%C3%A9opathie%20uniciste

Record 8,  Textual support,  Spanish

Record number: 8, Textual support number: 1 CONT

Homeopatía unicista o clásica: plantea dar un solo remedio para cada enfermo en su dolencia; dicho remedio debe atender a la parte más esencial del trastorno del enfermo (remedio de fondo).  1, record 8, Spanish, - homeopat%C3%ADa%20unicista

Record 9,  Textual support,  English

Record number: 9, Textual support number: 1 DEF

A scale for predicting pressure sore risk.  2, record 9, English, - Braden%20scale

Record number: 9, Textual support number: 1 CONT

The Norton Scale, developed in the 1950s to assess pressure ulcer risk, should have its onset threshold moved from 14 to 15 or 16. Close monitoring of patients’ health and pressure ulcer risk factors remain key elements in accurate use of this scale. Regardless of which of the several pressure ulcer assessment scales is used, health care providers must realize scales indicate but do not predict.... The Braden Scale's validity for predicting patients at risk for pressure ulcers is affected by patient nutrition, patient history, and treatment regimen.  3, record 9, English, - Braden%20scale

Record 9,  Textual support,  French

Record 9,  Textual support,  Spanish

Record number: 9, Textual support number: 1 DEF

[Escala que] evalúa el riesgo de desarrollar úlceras por presión en base a la sensibilidad y humedad de la piel, la fricción del cuerpo con las sábanas, la movilidad, actividad y nutrición del paciente.  2, record 9, Spanish, - escala%20de%20Braden

Record number: 9, Textual support number: 1 CONT

Las escalas de Braden y Norton son superiores al juicio clínico de las enfermeras para predecir el riesgo de un paciente de desarrollar UPP [úlceras por presión]. El análisis ponderado y el metaanálisis de los estudios de validación ofrecen adecuada evidencia para recomendar la escala de Braden, como la que ofrece el mejor balance sensibilidad/especificidad, y la mayor capacidad de predicción de los pacientes que pueden desarrollar UPP.  3, record 9, Spanish, - escala%20de%20Braden

Record 10,  Textual support,  English

Record number: 10, Textual support number: 1 CONT

The Norton Scale, developed in the 1950s to assess pressure ulcer risk, should have its onset threshold moved from 14 to 15 or 16. Close monitoring of patients’ health and pressure ulcer risk factors remain key elements in accurate use of this scale. Regardless of which of the several pressure ulcer assessment scales is used, health care providers must realize scales indicate but do not predict. [...] The Braden Scale's validity for predicting patients at risk for pressure ulcers is affected by patient nutrition, patient history, and treatment regimen.  2, record 10, English, - Norton%20scale

Record 10,  Textual support,  French

Record number: 10, Textual support number: 1 DEF

[Échelle pour] l'évaluation des facteurs de risque d'escarre.  2, record 10, French, - %C3%A9chelle%20de%20Norton

Record 10,  Textual support,  Spanish

Record number: 10, Textual support number: 1 DEF

Escala de valoración del riesgo de padecer úlceras por presión.  2, record 10, Spanish, - escala%20de%20Norton

Record number: 10, Textual support number: 1 CONT

Las escalas de Braden y Norton son superiores al juicio clínico de las enfermeras para predecir el riesgo de un paciente de desarrollar UPP [úlceras por presión]. El análisis ponderado y el metaanálisis de los estudios de validación ofrecen adecuada evidencia para recomendar la escala de Braden, como la que ofrece el mejor balance sensibilidad/especificidad, y la mayor capacidad de predicción de los pacientes que pueden desarrollar UPP.  3, record 10, Spanish, - escala%20de%20Norton

Record 11,  Textual support,  English

Record number: 11, Textual support number: 1 CONT

History taking and recording. A medical history is a record of an individual' s present and past conditions of health, his manner of living, and his family background. The process of taking this history usually is the physician's introduction to his patient. A complete and accurate medical history combined with a careful physical examination and appropriate laboratory studies provides the physician with the vital information that is essential in making a diagnosis and formulating a plan of management.  2, record 11, English, - history%20taking

Record 11,  Textual support,  French

Record number: 11, Textual support number: 1 DEF

Questions posées à un patient sur ses problèmes de santé antérieurs par un professionnel de la santé.  3, record 11, French, - anamn%C3%A8se

Record number: 11, Textual support number: 1 OBS

[Le terme] anamnèse désigne [...] l'action même de recueillir les données qui est dénommée en France interrogatoire. Ce terme n'est guère en faveur au Québec, probablement à cause de sa connotation policière. On lui préfère malheureusement questionnaire, laissant ainsi croire que le médecin se contente de réciter au patient une liste de questions prédéterminées, ce qui est loin de refléter la réalité.  2, record 11, French, - anamn%C3%A8se

Record 11,  Textual support,  Spanish

Record number: 11, Textual support number: 1 DEF

Parte del examen clínico que reúne todos los datos personales, hereditarios y familiares del enfermo, anteriores a la enfermedad.  2, record 11, Spanish, - anamnesis

Record number: 11, Textual support number: 1 CONT

La exploración física debe tender a demostrar plenamente los datos que se han obtenido por medio de la anamnesis y debe realizarse en forma ordenada para obtener el mayor y mejor número de datos que colaboren para integrar el diagnóstico.  2, record 11, Spanish, - anamnesis

Record number: 11, Textual support number: 1 OBS

Opuesto a catamnesis.  2, record 11, Spanish, - anamnesis

Record 12,  Textual support,  English

Record number: 12, Textual support number: 1 DEF

The complete medical, family, social, and psychiatric history of a patient up to the time of admission for the present illness.  1, record 12, English, - case%20history

Record 12,  Textual support,  French

Record number: 12, Textual support number: 1 DEF

Recueil par l'interrogatoire et l'examen physique du malade de toutes les données nécessaires à la compréhension du problème qu'il présente.  3, record 12, French, - observation

Record number: 12, Textual support number: 1 OBS

Histoire de cas : terme impropre.  5, record 12, French, - observation

Record number: 12, Textual support number: 2 OBS

Le terme «observation» a été privilégié par le Comité de sémiologie médicale.  5, record 12, French, - observation

Record number: 12, Textual support number: 3 OBS

«observation médicale» : Équivalent adopté par le Comité de normalisation de la terminologie des services sociaux.  6, record 12, French, - observation

Record 12,  Textual support,  Spanish

Record 13,  Textual support,  English

Record number: 13, Textual support number: 1 DEF

The follow-up medical or psychiatric history of a patient after he is discharged from treatment or a hospital.  1, record 13, English, - catamnesis

Record 13,  Textual support,  French

Record number: 13, Textual support number: 1 DEF

Renseignements obtenus sur un malade après sa sortie de l'hôpital ou de la clinique.  1, record 13, French, - catamn%C3%A8se

Record 13,  Textual support,  Spanish

Record 14,  Textual support,  English

Record number: 14, Textual support number: 1 OBS

Of the University of Ottawa Heart Institute.  1, record 14, English, - Patient%20History%20%26%20Nursing%20Assessment%20Cardiac%20Surgery%2FCardiology

Record 14,  Textual support,  French

Record number: 14, Textual support number: 1 OBS

De l'Institut de cardiologie de l'Université d'Ottawa.  1, record 14, French, - Ant%C3%A9c%C3%A9dents%20m%C3%A9dicaux%20du%20patient%20%26%20%C3%A9valuation%20infirmi%C3%A8re

Record 14,  Textual support,  Spanish

Record 15,  Textual support,  English

Record number: 15, Textual support number: 1 DEF

Pertaining to anamnesis.  1, record 15, English, - anamnestic

Record number: 15, Textual support number: 1 OBS

anamnesis : a medical or psychiatric patient case history, particularly using the patient's recollections.  1, record 15, English, - anamnestic

Record 15,  Textual support,  French

Record number: 15, Textual support number: 1 DEF

Relatif à l'anamnèse.  2, record 15, French, - anamnestique

Record number: 15, Textual support number: 1 CONT

Méthodes d'appréciation de l'état nutritionnel chez l'enfant [...] Aucun critère ne permet à lui seul d'affirmer et /ou de quantifier une situation de malnutrition : la confrontation des données anamnestiques, cliniques, anthropométriques et biologiques est donc essentielle.  1, record 15, French, - anamnestique

Record number: 15, Textual support number: 1 OBS

anamnèse : Reconstitution de l'histoire pathologique d'un malade, au moyen de ses souvenirs et de ceux de son entourage, en vue d'orienter le diagnostic; les données de cette reconstitution.  3, record 15, French, - anamnestique

Record 15,  Textual support,  Spanish

Record 16,  Textual support,  English

Record number: 16, Textual support number: 1 DEF

Any single observation of a patient-for example, a temperature reading, a red-blood-cell count, a past history of rubella, or a blood-pressure reading.  1, record 16, English, - medical%20data

Record number: 16, Textual support number: 1 CONT

If a medical datum is a single observation about a patient, then medical data are a collection of such observations.  1, record 16, English, - medical%20data

Record number: 16, Textual support number: 1 OBS

The form data can be used as a singular or plural. Some people use the form datum for the singular. In formal and technical English, "data" is sometimes a plural noun.  2, record 16, English, - medical%20data

Record 16,  Textual support,  French

Record number: 16, Textual support number: 1 DEF

Au sens trivial, ce qui est connu lors de l'énoncé d'un problème. Ainsi, les faits recueillis sur le malade sont les données du problème médical à résoudre. Au sens scientifique, forme codée de l'information, en vue d'un traitement déterminé.  1, record 16, French, - donn%C3%A9e%20m%C3%A9dicale

Record number: 16, Textual support number: 1 CONT

Une donnée médicale sera le résultat d'une transformation d'une information médicale, destiné à la mettre sous une forme compatible avec un traitement bien défini.  1, record 16, French, - donn%C3%A9e%20m%C3%A9dicale

Record number: 16, Textual support number: 1 OBS

Très souvent les mots information et données sont utilisés l'un pour l'autre. Cette confusion n'est pas toujours grave en pratique. [...] On voit donc qu'il y a une quasi-identité entre les deux mots dans leur acceptation scientifique. À l'avenir, nous utiliserons toujours «données» au sens scientifique et nous laisserons l'ambiguïté pour le mot «information».  1, record 16, French, - donn%C3%A9e%20m%C3%A9dicale

Record 16,  Textual support,  Spanish

Record 17,  Textual support,  English

Record number: 17, Textual support number: 1 OBS

Discharge Summary Outline : 1. Reason for hospitalisation; 2. Diagnosis; 3. Interval history; 4. Significant physical findings; 5. Labs; 6. Radiologic study; 7. Bacteriologic study; 8. Surgery and procedure; 9. Treatment rendered; 10. Hospital course; 11. Condition of patient on discharge; 12. Discharge prescription; 13. Instruction and recommendation for release.  2, record 17, English, - discharge%20summary

Record 17,  Textual support,  French

Record number: 17, Textual support number: 1 OBS

«résumé à la sortie» : Équivalent utilisé dans deux hôpitaux de la région d'Ottawa-Hull; «résumé de départ» est utilisé à l'hôpital de Gatineau, «sommaire de congé», dans un hôpital d'Ottawa. D'autres équivalents nous ont aussi été suggérés par certains de ces hôpitaux : sommaire au départ ou à la sortie.  2, record 17, French, - r%C3%A9sum%C3%A9%20%C3%A0%20la%20sortie

Record number: 17, Textual support number: 2 OBS

Le «sommaire de congé», selon une des sources consultées, se distingue de la «feuille sommaire», simple tableau qui ne fait état que du diagnostic final et de la procédure principale, par. ex. type de chirurgie. Il s'agit d'un texte dicté, beaucoup plus détaillé.  2, record 17, French, - r%C3%A9sum%C3%A9%20%C3%A0%20la%20sortie

Record 17,  Textual support,  Spanish

Record number: 17, Textual support number: 1 DEF

[Documento que] proporciona la información más importante relativa a la asistencia del enfermo después del alta. Esta información puede incluir las instrucciones sobre medicación, las órdenes o restricciones sobre actividad, los ejercicios prescritos, las instrucciones dietéticas y las pautas a seguir en caso de que surjan problemas  1, record 17, Spanish, - resumen%20del%20alta

Record 18,  Textual support,  English

Record number: 18, Textual support number: 1 CONT

The standard pathology requisition containing patient name, unit number, account number, physician's name, tissue identification and brief clinical history of the patient should accompany the specimen also marked "BLOOD AND BODY FLUID PRECAUTIONS".  1, record 18, English, - pathology%20requisition

Record 18,  Textual support,  French

Record 18,  Textual support,  Spanish

Record 19,  Textual support,  English

Record number: 19, Textual support number: 1 OBS

(The patient) presented with a 1-week history of severe fatigue and generalized weakness, tingling and numbness of hands, forearms, feet, and lower legs, and a burning skin sensation when exposed to cold.  2, record 19, English, - generalized%20weakness

Record 19,  Textual support,  French

Record number: 19, Textual support number: 1 OBS

(sans relation avec effort, contrairement à fatigue); Cahier Chlorure de potassium, chap. 1., Dictionnaire de médecine Flammarion, entrée asthénie (voir ce terme).  2, record 19, French, - faiblesse%20g%C3%A9n%C3%A9ralis%C3%A9e

Record 19,  Textual support,  Spanish

Record 20,  Textual support,  English

Record number: 20, Textual support number: 1 CONT

Five weeks postoperatively,... [the patient] complained of a sudden loss of vision OD [right eye] ;there was no history of trauma or other ocular injury.  1, record 20, English, - ocular%20injury

Record 20,  Textual support,  French

Record 20,  Textual support,  Spanish

Record 21,  Textual support,  English

Record number: 21, Textual support number: 1 CONT

The natural history of allergy to hymenoptera venom in any one patient is unpredictable.... The evolution of venom has endowed stinging insects with an injectable mixture of amines, peptides and enzymes which have remarkable pharmacological effects on their enemies. The many biologically active components of bee, wasp and hornet venoms are shown in Table 2.  1, record 21, English, - allergy%20to%20hymenoptera%20venom

Record 21,  Textual support,  French

Record number: 21, Textual support number: 1 CONT

Les auteurs (...) évaluent la fiabilité des deux méthodes mesurant le taux d'IgE spécifiques sériques et cellulaires par rapport à l'anamnèse clinique et aux tests cutanés pour objectiver une hypersensibilité au venin d'hyménoptère.  1, record 21, French, - hypersensibilit%C3%A9%20au%20venin%20d%27hym%C3%A9nopt%C3%A8re

Record number: 21, Textual support number: 1 OBS

Source : A. Sabbah et autres. Allergie et Immunologie 1990, 22, no 26, p. 242-7.  1, record 21, French, - hypersensibilit%C3%A9%20au%20venin%20d%27hym%C3%A9nopt%C3%A8re

Record 21,  Textual support,  Spanish

Record 22,  Textual support,  English

Record number: 22, Textual support number: 1 DEF

A collection of data about objects and events on which the knowledge base will work to achieve desired results.  2, record 22, English, - AI%20data%20base

Record number: 22, Textual support number: 1 CONT

Knowledge bases are not the same as the data base we often hear about... Suppose you are a physician.... Your data base is that patient's record, including patient history, measurements of vital signs, drugs given, response to drugs, and so on. It's today's problem. You must interpret these data for, say, purposes of continuing diagnosis and therapy planning. To do this, you use your medical knowledge.  2, record 22, English, - AI%20data%20base

Record 22,  Textual support,  French

Record number: 22, Textual support number: 1 DEF

Collecte de données à propos d'objets et d'événements à partir de laquelle la base de connaissances va opérer pour obtenir les résultats désirés.  2, record 22, French, - base%20de%20donn%C3%A9es%20en%20intelligence%20artificielle

Record number: 22, Textual support number: 1 OBS

base de connaissances : partie d'un système expert contenant les faits et inférences valides dans le domaine de compétence du système.  3, record 22, French, - base%20de%20donn%C3%A9es%20en%20intelligence%20artificielle

Record number: 22, Textual support number: 2 OBS

La distinction entre données et faits n'est pas toujours très nette et peut dépendre des auteurs.  3, record 22, French, - base%20de%20donn%C3%A9es%20en%20intelligence%20artificielle

Record 22,  Textual support,  Spanish