Course Content
Module 1: Introduction to Electronic Health Records (EHR)
• Overview of Electronic Health Records (EHR) and Personal Health Records (PHR) • The evolution of medical records: From paper to digital • Importance of EHR in modern healthcare • Patient rights and access to medical records
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Module 2: Navigating and Understanding Your Health Records
• How to access your electronic medical records • Common sections of an EHR (Medical history, lab results, prescriptions, etc.) • Understanding medical terminology and abbreviations • Interpreting lab results and diagnostic reports
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Module 3: Patient Privacy, Security & Data Protection
• HIPAA and other health data privacy laws • How to protect your personal health information online • Risks and common security threats in digital health records • Best practices for keeping your data secure
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Module 4: Using Digital Health Tools for Better Care
• Introduction to patient portals and mobile health apps • How telemedicine integrates with EHR • Benefits of tracking and managing health data digitally • How to share health records with caregivers and providers
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Module 5: The Future of Digital Health & Patient Empowerment
• Emerging trends in health technology (AI, blockchain, interoperability) • How digital health is improving patient-centered care • Advocating for your healthcare needs using digital tools • Next steps: How to stay informed and engaged in your digital health journey
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Final Assessment & Certification
• Interactive quiz covering key concepts from the course • Case study analysis: Applying EHR knowledge in real-life scenarios
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Understanding Medical & Healthcare Electronic Records: A Patient’s Guide
About Lesson

1. Introduction

Medical terminology and abbreviations form the language of healthcare, allowing doctors, nurses, and other medical professionals to communicate efficiently. However, for patients, these terms can often seem complex and confusing.

Understanding medical terminology can help patients interpret their health records, understand diagnoses and treatment plans, and engage more effectively in their healthcare.

In this lecture, we will explore:

  • The structure of medical terminology (prefixes, roots, and suffixes).
  • Common medical abbreviations used in Electronic Health Records (EHRs).
  • How to interpret medical terms related to diagnoses, tests, and treatments.
  • Best practices for understanding and navigating medical terminology in health records.

By the end of this session, you will be able to decipher medical terms and abbreviations in your health records with greater confidence.


2. The Structure of Medical Terminology

Medical terms are often derived from Latin or Greek words and follow a structured format:

2.1. Components of Medical Terms

A medical term is typically made up of three parts:

Component Definition Example: Cardiomyopathy
Prefix Comes at the beginning and modifies meaning. Cardio- (relating to the heart)
Root Word The core meaning of the term. Myo- (muscle)
Suffix Comes at the end and usually describes a condition or procedure. -pathy (disease)

Example:
🔹 Hypertension = Hyper- (excessive) + Tension (pressure) → High blood pressure.
🔹 Gastroenterology = Gastro- (stomach) + Entero- (intestine) + -logy (study of) → Study of the digestive system.

Understanding these prefixes, root words, and suffixes helps decode unfamiliar medical terms.


3. Common Medical Prefixes, Root Words, and Suffixes

3.1. Common Prefixes in Medical Terms

Prefix Meaning Example Definition
Hyper- Excessive, above normal Hyperglycemia High blood sugar
Hypo- Below normal, deficient Hypotension Low blood pressure
Brady- Slow Bradycardia Slow heart rate
Tachy- Fast Tachypnea Rapid breathing
Dys- Abnormal, difficult Dysphagia Difficulty swallowing

3.2. Common Medical Root Words

Root Word Meaning Example Definition
Cardi(o)- Heart Cardiology Study of the heart
Hepat(o)- Liver Hepatitis Inflammation of the liver
Neur(o)- Nerve Neuropathy Nerve disease
Oste(o)- Bone Osteoporosis Weak bones
Pulmon(o)- Lung Pulmonology Study of lung diseases

3.3. Common Medical Suffixes

Suffix Meaning Example Definition
-itis Inflammation Arthritis Joint inflammation
-ectomy Surgical removal Appendectomy Removal of the appendix
-ology Study of Oncology Study of cancer
-algia Pain Neuralgia Nerve pain
-emia Blood condition Anemia Low red blood cell count

4. Common Medical Abbreviations in Health Records

Medical records often use shortened forms (abbreviations) to save space and improve efficiency. Here are some of the most common:

4.1. General Abbreviations

Abbreviation Meaning
BP Blood Pressure
HR Heart Rate
RR Respiratory Rate
BMI Body Mass Index
Rx Prescription

4.2. Abbreviations Related to Medical Conditions

Abbreviation Meaning
DM Diabetes Mellitus
HTN Hypertension (High Blood Pressure)
COPD Chronic Obstructive Pulmonary Disease
CHF Congestive Heart Failure
CVA Cerebrovascular Accident (Stroke)

4.3. Abbreviations Related to Lab Tests & Diagnostics

Abbreviation Meaning
CBC Complete Blood Count
HbA1c Hemoglobin A1c (Diabetes Test)
LFTs Liver Function Tests
CT Computed Tomography Scan
MRI Magnetic Resonance Imaging

5. How to Interpret Medical Terms in Your Health Records

Step-by-Step Guide:

Break down complex words into prefix-root-suffix.
Check the context—terms can have different meanings based on symptoms and conditions.
Use reliable medical dictionaries like Merriam-Webster Medical Dictionary.
Ask your doctor or pharmacist if you do not understand a term in your records.


6. End of Lecture Quiz

1. What does “Tachycardia” mean?
A) Slow heart rate
B) Rapid heart rate
C) Low blood sugar
D) High blood sugar
Answer: BTachy- means fast, and -cardia refers to the heart, so it means fast heart rate.

2. What does the abbreviation “CBC” stand for?
A) Complete Blood Count
B) Chronic Bone Condition
C) Cardiac Bypass Check
D) Cerebral Blood Coagulation
Answer: A – CBC stands for Complete Blood Count, a common lab test.

3. If a patient’s diagnosis includes “Hepatitis,” what does it mean?
A) Lung infection
B) Liver inflammation
C) Kidney failure
D) Brain swelling
Answer: BHepat- refers to the liver, and -itis means inflammation, so Hepatitis means liver inflammation.


7. Further Learning Resources

🔹 Online Medical Terminology Dictionary
https://www.merriam-webster.com/medical

🔹 National Institutes of Health (NIH) – Understanding Medical Terms
https://medlineplus.gov/medicalwords.html

🔹 HealthIT.gov – Navigating EHR Terminology
https://www.healthit.gov


8. Summary & Key Takeaways

Medical terms consist of prefixes, root words, and suffixes that help decode meanings.
Common abbreviations like BP (Blood Pressure) and CBC (Complete Blood Count) are frequently found in EHRs.
Understanding medical terms helps patients interpret their records and engage in healthcare decisions.
Using online medical dictionaries and asking healthcare providers for clarification are key strategies for understanding medical terminology.

This concludes our lecture on Understanding Medical Terminology and Abbreviations. Up next, we will explore how to interpret test results and doctor’s notes in your health records. 🚀

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