chapter 3

3. additional information provided to the health record
5. made by drawing a single line through and indicating error above
6. type of data, includes basic info such as name address and date of birth
9. data that is the process of extracting and analyzing large volumes of data from a database for the purpose of identifying hidden and sometimes subtle relationships or patterns and using those relationships to predict behavior
11. provides general direction about the design of the form
14. uses the codes assigned to determine the diagnostic related group or another grouping
18. data that has been turned into something meaningful
19. can be either extracting info from a document to create a brief summary of the patients illness treatment and the outcome or the process of extracting elements of the data from a source document or database
20. clarification made to the healthcare document after the original document has been signed
21. process of ensuring each page in a health record is organized in a standardized format

1. assigns the diagnosis and procedure codes
2. information understanding and experience that give individuals the power to make informed decisions
4. raw facts and figures
7. data that has been extracted from an individual health record and combined to form deidentified information
8. health record that is a combination of paper health record and electronic health record
10. record that is incomplete for a specified number of days
12. data that is unstructured narrative text
13. trail in a chronological set of computerized records that provides evidence of info system activity
15. patient is erroneously assigned another persons health record number
16. record that contains information relating to the physical or mental health or condition of an individual
17. linking of a patient name health record number document type and other identifying into to the scanned document