Medical Terminology

The part of the body containing the digestive organs; the belly.

Also called “arrhythmia” - when the electrical signals that coordinate the heart's beats don't work properly. The faulty signaling causes the heart to beat too fast (tachycardia), too slow (bradycardia) or irregularly. Source: Mayo Clinic

A process to end a pregnancy, using medicine and/or surgery. Source: Medline Plus

Services to assist to end a pregnancy which can be done either through medication or a procedure to remove the pregnancy from the uterus.

The act or process of allowing someone to enter a hospital for a period typically 24hrs or longer to receive medical care. Source: Cambridge Dictionary

A process whereby a person assumes the parenting of another, usually a child, from that person's biological or legal parent or parents. Legal adoptions permanently transfer all rights and responsibilities, along with filiation, from the biological parents to the adoptive parents.

The care and treatment of a person after an operation, delivery, or convalescence from an illness. Source: Medical Dictionary

Denoting or relating to a person who does not identify as having a gender.

Usually refers to things like intensive care unit [ICU] admission, ventilator, cardiac catheterization, pulmonary artery monitor, and dialysis, but can also refer to repeated hospitalization or major surgery when a person is already near the ed of their life.

The temperature that exists in a given environment.

Training, inclusive of abdominal thrusts, used to prevent choking often provided as part of first aid.

A feeling of worry and fear along with muscle tension. Anxiety may be considered normal in some instances such as public speaking or before making important decisions. Anxiety may become a disorder when it prevents one’s ability to function normally. Source: Psychiatry.org

Lack of romantic attraction to others; low or absent desire for romantic activity.

Defined as having little or no romantic feeling towards others: experiencing little or no romantic desire or attraction.

An arterial line is a thin, flexible tube that is placed into an artery, commonly in the wrist or the groin. It helps your doctors and nurses check your blood pressure and take blood samples. It is used in operating rooms and intensive care units (ICUs). You may hear it called an "art-line" or "A-line." Source: My Health

Refers to nutrient supplements other than food (whole or blended) that are given to a person through a tube that goes into their stomach or intestines, but can also refer to nutrients that are given directly into the blood stream.

Lack of sexual attraction to others, or low or absent interest in or desire for sexual activity. It may be considered a sexual orientation or the lack thereof. It may also be categorized more widely, to include a broad spectrum of asexual sub-identities.

The lack of sexual attraction to others, or low or absent interest in or desire for sexual activity. It may also be categorized more widely to include a broad spectrum of asexual sub-identities. Asexuality is distinct from abstention from sexual activity and from celibacy.

When something enters your airway or lungs by accident. It may be food, liquid, or some other material. Source: Cedars Sinai

Gathering information concerning a hospitalized person’s individual physiological, psychological, sociological, and spiritual needs. It is the first step in the successful evaluation of a person requiring health care. Source: NCBI

A scientific examination of a person’s remains to document the state of all the body’s organs after death; often performed to help determine the cause of death or any contributing factors; requires opening all of the body’s cavities to exam the internal organs.

Class of depressant drugs prescribed to treat conditions such as anxiety disorders, insomnia, and seizures, can also be used for sedation in the ICU, and as part of anesthesia for surgery. Source

An abnormal body structure or function that develops before a baby is born. A birth defect is also called a Congenital Disorder or Congenital Abnormality. Source

Is a romantic or sexual attraction or behavior toward both males and females, to more than one gender, or to both people of the same gender and different genders.

A pattern of attraction toward both males and females, or to more than one sex or gender. A bisexual identity does not necessarily equate to equal sexual attraction to both sexes; commonly, people who have a distinct but not exclusive sexual preference for one sex over the other also identify themselves as bisexual.

Located in the lower abdomen, the bladder is a hollow organ, much like a balloon, that stores urine, until you’re able to go to the bathroom. Source

A semi-solid mass of blood cells and other substances that form in your blood vessels. Blood clots protect you from bleeding too much if you’re injured or have surgery. However, you may develop blood clots for other reasons, such as having certain medical conditions. When that happens, blood clots may cause symptoms and can be life-threatening. Source

Removal of a small sample of blood (typically less than a quarter of a cup) in order to test the levels of different components in the blood necessary to keep you healthy; sometimes this is done through an existing IV, sometimes it requires a separate needle to access your vein to get the sample.

The fluid pressure generated by the heart squeezing blood into your arteries, making blood flow continuously in a forward direction through the arteries in your body, thereby delivering oxygen and nutrients to your organs. It is normal for your blood pressure to vary throughout the day and with activity.

Transfusable substances derived from human blood such as whole blood, red blood cells, platelets, plasma and cryoprecipitate. Source

A small amount of blood taken from a person for testing.

Giving blood or blood products to a person through an IV catheter, typically to replace cells or substances that are missing or inadequate in the person receiving the transfusion.

The process of feeding a mother's breast milk to her infant, either directly from the breast or by expressing (pumping out) the milk from the breast and bottle-feeding it to the infant.

The plastic tube used for intubation; can also refer to a tracheostomy; the piece of tubing that connects a person’s respiratory system to a mechanical ventilator.

Also a central venous catheter; a catheter placed into a large vein as a form of venous access. Placement of larger catheters in more centrally located veins is often needed in critically ill people, or in those requiring prolonged treatment. These catheters are commonly placed in veins in the neck (internal jugular vein), chest (subclavian vein or axillary vein), groin (femoral vein), or through veins in the arms (also known as a PICC line, or peripherally inserted central catheters). Source

services performed by a certified clergy member who provides spiritual care for individuals in a non-religious organization, rather than a church congregation. Chaplains can work in healthcare, hospice, or government facilities. Chaplains are spiritual and pastoral counselors who work with people and their families to access spiritual strength and resources. Chaplains offer care and support when people and their families search for meaning in the midst of illness and hospitalization.

Resources to assist with any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation"; or "An act or failure to act which presents an imminent risk of serious harm." This definition of child abuse and neglect refers to parents and other caregivers. A "child" under this definition means a person who is younger than age 18 or who is not an emancipated minor. Federal law has created guidance. State or territory laws have further delineation.

Designed to help women access accurate and up to date information about childbirth and make informed decisions about their care. Exposure to evidence-based information about maternity care practices should assist women to make informed decisions that are based on that evidence. Their purpose is to reduce fear of the unknown and let couples focus on the joy of the birth experience. Though you can't 'control' birth, taking classes will help you feel prepared and supported to make your treasured memories of the birth experience.

Conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both. Source

A chronic illness is a long-term health condition that may not have a cure. Examples of chronic illnesses are: Alzheimer disease and dementia, arthritis, asthma, cancer, COPD, Crohn’s disease, cystic fibrosis, diabetes, endometriosis, epilepsy, fibromyalgia, heart disease, high blood pressure (hypertension), HIV/AIDS, migraine, mood disorders (bipolar, cyclothymic, and depression), multiple sclerosis, narcolepsy, Parkinson disease. Source

The surgical removal of the skin covering the tip of the penis; this is fairly common for newborn boys in certain parts of the world, including the United States; for some families, circumcision is a religious ritual, but can also be a matter of family tradition, personal hygiene or preventive health care. Source

An extreme fear of enclosed spaces that prevents one’s ability to function or perform daily activities. Source

The group of religious officials (as priests, ministers, or rabbis) specially prepared and authorized to conduct religious services.

Also called a medical ethicist. A consultant who assesses the use of ethics in health care settings, such as hospitals and private medical practices. Their role is often to aid in understanding and communication between health care providers and people seeking care in the health care system. Source

Cognitive refers to intellect: people with cognitive differences often take longer to complete academic tasks than people with typical cognitive function and can have difficulty focusing. Behavioral refers to how a person acts, due to their emotions; in this case differences refers to people whose actions may be harmful to themselves or people around them without support or assistance.

A surgical operation in which a piece of the colon (large intestine) is diverted to an artificial opening in the abdominal wall so as to bypass a damaged part of the colon and allow solid waste to leave the body. Source

It denotes either a male or female sex.

Also known as case law, is a body of unwritten laws based on legal precedents established by the courts. Here it refers to two people who are seen as married by their state or jurisdiction without having been formally married to each other.

Based in the basic belief and value that every community has strengths, and every community has problems and concerns. The people within each community have the ability to solve their own problems and achieve their own goals.

An unfavorable result of a disease, health condition, or treatment that generally involves a worsening of the disease or the development of new signs, symptoms, or negative changes that may become widespread throughout the body and affect additional organ systems. Source

The blood from the baby that is left in the umbilical cord and placenta after birth; it contains special cells called stem cells that can be used to treat some types of diseases. Source

Cardiopulmonary resuscitation; using a carefully timed combination of rescue breathing and compressing the chest to support oxygen and blood flow in a person whose heart has stopped.

A term coined by health insurers to describe a handful of the most common health situations that result in prolonged hospitalization or ICU care. “Critical-illness plans often cover diseases like cancer, organ transplant, heart attack, stroke, renal failure, and paralysis, among others. There is no coverage if you're diagnosed with a disease that isn't on the specific list for your plan, and the list of covered illnesses varies from one plan to another.” Source

Defined as the practices, beliefs, customs, and habits that are passed down from generation to generation within a particular society. These are practices of a specific group for an extended time that become the common habits and identity of these people.

An umbrella term which encompasses the social behavior, institutions, and norms found in human societies, as well as the knowledge, beliefs, arts, laws, customs, capabilities, and habits of the individuals in these groups. Culture is often originated from or attributed to a specific region or location. It can include the customary beliefs, social forms, and material traits of a racial, religious, or social group. also: the characteristic features of everyday existence (such as diversions or a way of life) shared by people in a place or time.

Also End-of-Life Doula; a person who provides companionship, comfort, and guidance to those facing a terminal illness or death, and offers resources to help the dying person, along with their family and loved ones, make informed decisions in a supportive environment. Source

The person or group of individuals who is responsible for making strategically important decisions based on a number of variables, including time constraints, resources available, the amount and type of information available and the number of stakeholders involved.

Administering a controlled electric shock to the chest in order to allow restoration of the normal heart rhythm. Source

A medical illness that causes feelings of sadness, loss of interest in enjoyable activities, and can decrease one’s ability to function at work and at home. Source

A condition that occurs when glucose (blood sugar) rises too high. Diabetes results from the body not making enough insulin or being unable to use insulin properly. Over a long period of time untreated diabetes leads to kidney disease, heart disease, blindness, and death. Source

This is a general term referring to several processes of balancing the body’s normal chemistry and removing toxins from the blood. Usually the kidneys do this job, but when they stop working, either temporarily or permanently, there are devices that can clean the blood and balance the body’s chemistry. Hemodialysis is the process of removing blood from the body and running it through a machine that works like a kidney (cleans/balances) and then returns the blood back into the body through IV tubes. Peritoneal dialysis is a process where the abdomen is filled with fluid through a surgically implanted tube. The fluid works slowly to absorb toxins and balance the body’s chemistry, and after a period of time (6 to 8 hours) is drained back out of the abdomen. Any of these processes must be repeated every one to two days until either a person’s kidneys start working again or a new kidney is surgically implanted. Without working kidneys or dialysis toxins build up, usually resulting in death within two weeks.

When your stools are loose and watery. You may also need to go to the bathroom more often. Short-term (acute) diarrhea lasts 1 or 2 days. Long-term (chronic) diarrhea lasts several weeks. Source

Describes the point at which inpatient hospital care ends, with ongoing care transferred to other primary, community or home environments. Generally, it is not an end point, but rather one of multiple transitions within a person’s care journey. Source

A disorder of structure or function in a human, animal, or plant, especially one that has a known cause and a distinctive group of symptoms, signs, or anatomical changes. Source

A person trained to provide physical, emotional, and informational support to pregnant people throughout their pregnancy. Doulas adhere to DONA International’s Standards of Practice and Code of Ethics to ensure a safe and healthy pregnancy, birth, and postpartum experience. Source

Extra-corporeal Membrane Oxygenation; a machine or series of machines that removes blood from a person’s body through large tubes entering and exiting the body, that removes carbon dioxide, and adds oxygen, then returns the blood to the person. This process is only used when a person’s heart and/or lungs are unable to do the normal work of breathing and/or pumping blood to get oxygen to all of your organs and tissue, typically when a person is near death.

The period when body systems shut down and death is imminent—typically lasts from a matter of days to a couple of weeks. Source

Provide non-medical, practical, emotional, spiritual, and physical care, and support to those living with serious illness, their family and caregivers, beginning before hospice and lasting throughout the dying time and afterwards.

The lowest level of function of a vital organ system (e.g., end-stage liver disease or end-stage renal disease) that is irreversible, and will cause death if there isn’t an aggressive intervention.

A small cut made by an obstetrician (doctor who specializes in the delivery of babies) in the lower part of the vagina to allow a baby to be born more easily. Recent research suggests episiotomies may do more harm than good and have become less common. Source

A service that supports informed, deliberative decision making on the part of people receiving care, families, physicians, and the health care team. By helping to clarify ethical issues and values, facilitating discussion, and providing expertise and educational resources, ethics consultants promote respect for the values, needs, and interests of all participants, especially when there is disagreement or uncertainty about treatment decisions. Source

The quality or fact of belonging to a population group or subgroup made up of people who share a common cultural background or descent.

A treatment that uses man-made heart and lung machines to support the body when a person's own organs are too sick to do the job. Source

Also “severe medical condition “- To differentiate from a condition which requires surgery to correct; refers to any condition which will result in one or more organs shutting down, or death, if not treated quickly with medicines, typically inside a hospital or intensive care unit.

An activity or pattern of behavior that reflects a family's values, interests, or beliefs.

A small plastic tube used to deliver nutrients into a person’s digestive system; can be a long-lasting short tube that passes through the skin of the abdomen into the stomach or intestines, or a long tube that goes through the mouth or nose into the stomach or intestines.

It is used to denote the female subtype.

Sexual fluidity is one or more changes in sexuality or sexual identity. Sexual orientation is stable and unchanging for the vast majority of people, but some research indicates that some people may experience change in their sexual orientation, and this is slightly more likely for women than for men.

A form of assisted vaginal delivery that involves a provider using forceps (which look like tongs) to grasp a baby’s head and pull while the mother pushes. Forceps may also be used to reposition a baby’s head to assist in the delivery process. Source

Is a system in which a minor has been placed into a ward, group home, or private home of a state-certified caregiver, referred to as a "foster parent", or with a family member approved by the state. The placement of a "foster child" is normally arranged through the government or a social service agency.

Means that if a person’s heart stopped beating and/or they stopped breathing, all resuscitation procedures will be provided to keep them alive. Source

Incapable of producing any useful result; pointless. Source

Also “medical futility” - a particular intervention at a particular time, for a specific person that is unlikely to produce any significant benefit for that person.

Sexually or romantically attracted to people of one's own sex (used especially of a man).

Includes the social, psychological, cultural and behavioral aspects of being a man, woman, or other gender identity. Depending on the context, this may include sex-based social structures and gender expression.

Typically reflects a person's gender identity(their internal sense of their own gender), but this is not always the case. Gender expression is separate and independent both from sexual orientation and sex assigned at birth. Gender expression is how a person publicly presents their gender. This can include behavior and outward appearance such as dress, hair, make-up, body language and voice. A person's chosen name and pronoun are also common ways of expressing gender.

Is the personal sense of one's own gender. Gender identity can correlate with a person's assigned sex or can differ from it. In most individuals, the various biological determinants of sex are congruent, and consistent with the individual's gender identity.

Is a non-fixed gender identity that shifts over time or depending on the situation. These fluctuations can occur at the level of gender identity or gender expression.

An umbrella term for gender identities that are not solely male or female; consider also “non-binary.”

Medicine given before and during surgery through a breathing mask or IV catheter that causes a person to go into a sleep-like state and prevents awareness or memory, or the feeling of pain. Source

Gastrointestinal; of or relating to the digestive system.

The area between the abdomen and the thigh on either side of the body. Source

When a group of individuals collectively make a choice from the alternatives before them. The decision is then no longer attributable to any single individual who is a member of the group.

Part of the digestive tract and especially the intestine or stomach. Source

The organ in the chest the pumps blood through the lungs to release carbon dioxide and pick up oxygen, then pumps the blood to all the organs of the body.

A person who is sexually or romantically attracted exclusively to people of a different sex.

A pattern of attraction to persons of the opposite sex. The term straight is commonly used to refer to heterosexuals. Heterosexuals are by far the largest sexual identity group.

A blood pressure reading above 130/80 millimeters of mercury (mm HG). A millimeter of mercury is measurement of pressure. High blood pressure is also known as Hypertension (HTN) and means that the heart is working harder to pump blood than it should. Source

A person who is sexually or romantically attracted to people of their own sex.

A pattern of attraction to other persons of the same sex. The term lesbian is commonly used to refer to homosexual women, and the term gay is commonly used to refer to homosexual men, although gay is sometimes used to refer to women as well.

Care focused on the comfort and quality of life of a person with a serious illness who is approaching the end of life. Source

Intensive Care Unit – hospital ward with specially trained doctors, nurses, pharmacists, and others, who take care of people with critical illness.

The qualities, beliefs, personality traits, appearance, and/or expressions that characterize a person or group. Identity emerges during childhood as children start to comprehend their self-concept, and it remains a consistent aspect throughout different stages of life.

A lack of physical or mental/cognitive ability that results in a person's inability to manage their own personal care, property, or finances. Source

When viruses, bacteria, or other microbes enter your body and begin to multiply. Disease, which typically happens in a small number of infected people, occurs when the cells in your body are damaged as a result of this process, and signs and symptoms of an illness appear. Source

A person who stays in a hospital while under treatment. Source

A place for people in their last phase of life, when treatment in a hospital is not necessary and care at home or in a nursing home is not possible. The central aims of this service are the relief of suffering and achieving the best possible quality of life until death, as well as bereavement support for your family. Source

Intensive therapy program, physician supervision, and coordinated care from your doctors and therapists, including physical therapy, occupational therapy, and speech-language pathology delivered in a facility following serious illness or injury. Source

Institutions are the humanly devised constraints that structure political, economic, and social interaction. They consist of both informal constraints (sanctions, taboos, customs, traditions, and codes of conduct), and formal rules (constitutions, laws, property rights).

The state of being connected with each other.

Condition in which a person is born with a reproductive or sexual anatomy that doesn’t seem to fit the typical definitions of female or male. Source

Any change from your normal behavior that causes a change in your state of health; this can be something you change for yourself, or it can be something someone else does to you or for you.

The lower part of the digestive system, from the end of the stomach to the anus. Source

Close familiarity or friendship; closeness. Intimacy can refer to a level of closeness where you feel validated and safe. In relationships, four types of intimacy are key: emotional, physical, mental, and spiritual.

Physical, sexual, or psychological abuse of a person by their partner or spouse.It can refer to both current and former spouses and dating partners. IPV can vary in how often it happens and how severe it is. It is one of the most common forms of violence against women and includes physical, sexual, and emotional abuse and controlling behaviors by an intimate partner.

A small plastic tube (about one inch long and as thin as a piece of uncooked spaghetti) that passes through the skin and into a vein, typically used to deliver fluids, nutrients and medications into the blood stream, or to remove small amounts of blood for examination and testing.

Placing a plastic tube through the mouth (or sometimes the nose), past the vocal cords and into the wind-pipe; this process is typically required as part of mechanical ventilation, wither when a person has surgery or when they are unable to breath enough on their own.

Organs in the body that filter certain toxins from the blood, and keep the body’s electrolytes and water balanced; they are vital organs, meaning the body cannot live without them for more than a short period of time.

A hospital department dedicated to the care of people who are completing a pregnancy, with specialized rooms, beds, nurses and doctors focused on the care of pregnant people and their newborn babies.

Using medicines or other methods (such as rupturing the amniotic sac or “breaking your water”) to speed up the process of childbirth. Source

A deep cut or tear in skin or flesh. Source

Production of milk inside the breast.

Includes any counseling or behavioral interventions to improve breastfeeding outcomes, such as helping with a lactation crisis or working with other health care providers. The primary focus of support is counseling, encouragement, and managing lactation crises; education is a secondary purpose.

A battery-operated, mechanical pump, which then helps the left ventricle (main pumping chamber of the heart) pump blood to the rest of the body; used for people who have reached end-stage heart failure, either as a tool to help until they can get a heart transplant, or as an extreme effort to support heart function in the hopes of improved function over time. Source

A partnership isa legal arrangement that allows two or more people to share responsibility for a business.

Denoting or relating to women who are sexually or romantically attracted exclusively to other women, or to sexual attraction or activity between women.

Also referred to as “anemia” – the state of being where not enough red blood cells are in the body, which can limit your ability to get enough oxygen to all of your organs, including your heart and your brain.

A test used to diagnose certain health conditions. It's performed in your lower back: a needle is inserted into the space between two lumbar bones (vertebrae) to remove a sample of fluid from around your spinal cord, called cerebrospinal fluid or CSF. Source

In Native Hawaiian and Tahitian cultures are third gender people with traditional spiritual and social roles within the culture, similar to Tongan fakaleiti and Samoan fa'afafine. Historically the term Māhū referred to people assigned male at birth (AMAB), but in modern usage Māhū can refer to a variety of genders and sexual orientations Source

It is used to denote a male subtype.

A positive change in a person’s health, typically as a result of treatment by a health care team, that leaves them more functional and/or independent than the person was before the treatment.

Mechanical ventilation is a type of therapy that helps you breathe or breathes for you when you can’t breathe on your own. You might be on a ventilator during surgery or if your lungs aren’t working properly. Mechanical ventilation keeps your airways open, delivers oxygen and removes carbon dioxide. Source

Any treatment (like a medicine or a therapy) prescribed by a licensed health care provider, like a doctor or a nurse practitioner, or the use of any medication that is overseen by a pharmacist inside or outside a hospital setting.

Describes a person's ability to a make a decision. In a medical context, capacity refers to the ability to utilize information about an illness and proposed treatment options to make a choice that is congruent with one's own values and preferences. Capacity is defined around a specific medical decision; individuals may have capacity in one clinical context but not in another and vice versa. It is the ability for one to make his/her own decisions by being able to understand all the information needed to make that decision, use or think about that information, remember that information, and communicate the decision to someone else. The capacity to make one's own decisions is fundamental to the ethical principle of respect for autonomy and is a key component of informed consent to medical treatment. Determining whether an individual has adequate capacity to make decisions is therefore an inherent aspect of all conversations between a person and their health care provider. The main determinant of capacity is the ability to think clearly and rationally, and any condition or treatment that affects this may potentially impair decision-making capacity. In the presence of cognitive impairment from any cause, determining whether someone has adequate capacity is critical to striking the proper balance between respecting their autonomy and acting in a person’s best interest. A skillful capacity assessment can also help determine the severity of a person’s cognitive impairments and improve the effectiveness of conversations with people and their families.

A licensed medical provider trained in obstetric and gynecological healthcare. Midwives provide examinations, prescriptions, and labor and delivery care.

Each partner takes a proactive interest in the other company, working together to bring about their shared success.

(In Mexico, especially Oaxaca) a person who was registered as male at birth but who identifies as female or as neither male nor female.

Natural death is one that occurs due to an internal factor that causes the body to shut down, such as cancer, heart disease or diabetes. Source

It is used to denote nonliving and lifeless things.

An umbrella term for gender identities that are not solely male or female.

Institutions certified by a state to offer 24-hour medical and skilled nursing care, rehabilitation, or health-related services to individuals who do not require hospital care. Nursing facility services are mandatory benefits that must be covered by all state Medicaid programs. Nursing facility services are the second-largest category of Medicaid spending (after hospital services), and Medicaid is the primary payer for nursing facility care in the country. States have broad flexibility to determine payments to nursing facilities. Federal rules do not prescribe how nursing facilities should be paid or how much they should be paid, but require that Medicaid payment policies should promote efficiency, economy, quality, access, and safeguard against unnecessary utilization.

Program that provides exercises and stretches throughout pregnancy and postpartum. These are exercises to work the ligaments, fascia, and muscles that can impact the pelvis in labor and birth.

Substances that are chemically similar to opium that act inside the body to produce morphine-like effects. Medically they are primarily used for pain relief; particularly in acute or severe pain circumstances, including for anesthesia. Some examples are morphine, oxycodone, and fentanyl.

The process of assisting a person in a hospital to keep their mouth as clean as possible, to reduce the risk of infection or complication from bacteria that build up in the mouth.

Organ failure is when one (or several) of your vital organs stops functioning. It can be a gradual (chronic) or sudden (acute) process. Your vital organs are the ones you can't live without. Source

A surgical procedure in which an organ/s, tissue or group of cells are removed from one person (the donor) and transplanted into another person (the recipient), or moved from one site to another in the same person. Many different types of organs, tissue, and cells can be transplanted. Source

A person who receives medical treatment without being admitted to a hospital. Source