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Content

Unit One: The Composition & Organization of a Medical Record

1. Composition of a Medical Record
2. Forms Used to Record Information in a Medical Record
3. Organization of a Medical Record
4. Unit Review and Quiz

Unit Two: Abstracting a Cancer Case: What, When, and How

1. What Cases to Abstract
2. When to Abstract Cases
3. How to Abstract Tumor Registry Information
   • Patient Identification
   • Biographical Information
4. Unit Review and Quiz

Unit Three: Abstracting Diagnostic Procedures

1. General Description
2. Clinical Examinations
• Physical
• Radiologic
  • Radiologic Exam -- Plain Films
  • X-ray Series
  • Body Section Radiography
  • Radiologic Exam Using Contrast Media
  • Fluoroscopy
  • Ultrasonography, Mammography, Xeroradiography, Thermography, X-rayReport
  • Practical Examples
• Computerized (axial) Tomography (CT)
• Dianostic Nuclear Medicine
  • Intro
  • Illustration
  • Practical Examples
• Magnetic Resonance Imaging
• Hematologic Examination
  • Introduction
  • Terminology Exercise
  • Definitions
  • Normal Blood Values
  • Practical Examples
  • Bone Marrow Studies
  • Blood Serum Studies
  • Other Laboratory Studies
3. Manipulative and Operative Procedures
   • Manipulative Procedures
     • Endoscopic Exam
     • Proctoscopy, Sigmoidscopy, and Colonoscopy
     • Bronchoscopy
     • Cystoscopy
     • Gastroscopy
     • Practical Examples
     • Other "Oscopies"
   • Operative Procedures
     • Exploratory Surgery and Operative Report
     • Practical Example One
     • Practical Example Two
4. Pathological Examinations
   • Histologic Examination
     • A. The Biopsy Report
     • B. The Operative Pathology Report
     • Practical Examples
     • C. The Autopsy Report
   • Cytologic Examination
     • Intro
     • Cytology and Its Procedures
     • Cytology Report
     • Practical Examples

Unit Four: Additional Information

1. Common Abbreviations
• A
• B
• C
• D-E
• F-H
• I-K
• L
• M
• N-O
• P
• Q-R
• S
• T-Y
2. Common Symbols
3. Acronyms
• Acronyms for Organizations Concerned with Cancer
• Publications and On-line Data Bases
• The Automated Cause Coding System
4. Acronyms for Study Groups