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Record 1,  Textual support,  English

Record number: 1, 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 1, English, - ophthalmic%20assistant

Record 1,  Textual support,  French

Record 1,  Textual support,  Spanish

Record 2,  Textual support,  English

Record number: 2, Textual support number: 1 DEF

... a written document containing (1) the medical history, (2) the findings from the physical examination, (3) the reports of laboratory tests, (4) the findings and conclusions from special examinations, (5) the findings and diagnoses of consultants, (6) the diagnoses of the responsible physician, (7) notes on treatment ..., and (8) progress notes by physicians, nurses and others.  7, record 2, English, - medical%20record

Record 2,  Textual support,  French

Record number: 2, Textual support number: 1 DEF

[...] ensemble des pièces (fiche signalétique du malade, fiches d'observation du médecin, radiographies, ordonnances, analyses, etc.) relatives à un malade [...]  4, record 2, French, - dossier%20m%C3%A9dical

Record 2,  Textual support,  Spanish

Record number: 2, Textual support number: 1 DEF

Conjunto de documentos básicos escritos de manera específica, exacta y ordenada, que reflejan con claridad el historial de salud de un paciente; por lo tanto, comprende el registro de hechos demográficos vitales y de morbilidad, tratamientos impartidos y resultados obtenidos.  1, record 2, Spanish, - expediente%20cl%C3%ADnico

Record 3,  Textual support,  English

Record number: 3, Textual support number: 1 DEF

[The] review of a hospitalized patient’s current records by a group of health care professionals.  3, record 3, English, - clinical%20rounds

Record number: 3, Textual support number: 1 CONT

Chart rounds can be undertaken for a variety of reasons such as assessment of patient progress, planning of interventions, or education of staff.  3, record 3, English, - clinical%20rounds

Record number: 3, Textual support number: 2 CONT

The ability to locate files [more quickly] also enhanced the productivity of chart rounds, which involves a group of clinicians discussing a patient's status. If a chart can be located in time for this review, the patient's treatment can be more thoroughly evaluated, thus enhancing the quality of care.  4, record 3, English, - clinical%20rounds

Record 3,  Textual support,  French

Record number: 3, Textual support number: 1 OBS

réunion multidisciplinaire : terme retenu par le réseau Entraide Traduction Santé.  2, record 3, French, - r%C3%A9union%20multidisciplinaire

Record 3,  Textual support,  Spanish

Record 4,  Textual support,  English

Record number: 4, Textual support number: 1 DEF

Flow chart to guide provision of health care to, and anticipated response of, patients with specific disease conditions. [OCRDHC, The Foundation for Change Technical Report, 1995]  1, record 4, English, - care%20map

Record number: 4, Textual support number: 1 CONT

Care maps outline treatment for patients who may require services from several different organizations or providers. By integrating the practices and experiences of each provider, care maps help the physician and the health care team set out a plan for all necessary patient care, thus helping define how each provider contributes to the overall patient plan. This approach improves efficiency by ensuring that all steps are performed at the optimum time...care maps also provide the most timely, efficient and effective access to treatment... care maps help physicians and others identify both trends in treating patients with the same conditions as well as deviations from the trends... Care maps also improve communication between patients and physicians or other health care providers. The patient better understand what role each health care provider plays and the physician is able to educate patients and their families about what to expect and how to speed recovery.  2, record 4, English, - care%20map

Record 4,  Textual support,  French

Record number: 4, Textual support number: 1 DEF

Outil utilisé dans le cadre du "case management". Il précise, pour chaque jour, les activités et les soins prévus pour un épisode de soins donné.  2, record 4, French, - plan%20de%20soins%20standard

Record number: 4, Textual support number: 1 OBS

Les termes "carte de soins" et "cheminement critique abrégé" de même que la définition française nous ont été fournis par une infirmière de l'hôpital St-Luc, Montréal.  2, record 4, French, - plan%20de%20soins%20standard

Record 4,  Textual support,  Spanish

Record 5,  Textual support,  English

Record number: 5, Textual support number: 1 DEF

The maintaining of a record of a sequence of data, such as a patient's daily temperature or pulse rate, in the form of a chart.  3, record 5, English, - charting

Record 5,  Textual support,  French

Record 5,  Textual support,  Spanish