HIM 298: Chapter 3 Project

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Across
  1. 1. A collection of care information related to a specific disease, condition, or procedure that makes health record information available for analysis and comparison (EX: Cancer, trauma, birth defects)
  2. 4. Additional information provided in the health record
  3. 9. An ongoing review of clinical information while the patient is still in the healthcare organization
  4. 11. The linking of patient name, health record number, document type, and other identifying information to the scanned document
  5. 12. Unstructured narrative data that are the result of a person typing data into an information system
  6. 17. A review of clinical information following patient discharge
  7. 19. Abbreviation for the permanent record of all patients treated at a healthcare organization
  8. 20. Monitoring the quality of the documentation
Down
  1. 2. Data that have been turned into something meaningful
  2. 3. A review of the health record to determine if there are any missing reports, forms, or signatures
  3. 5. If a health record remains incomplete for a specified number of days as defined in the medical staff rules and regulations, the record is considered a _____
  4. 6. A chronological set of computerized records that provides evidence of information system activity used to determine security violations
  5. 7. When a document or signature is missing, a _____ is created.
  6. 8. Clarification made to healthcare documentation after the original document has been signed
  7. 10. A patient is erroneously assigned another person's health record number
  8. 13. Raw facts and figures
  9. 14. A patient has more than one health record number at different locations within an enterprise or healthcare organization
  10. 15. The main reason for the health record is for patient care
  11. 16. How the health record is used for healthcare purposes not directly related to patient care (EX: Education of healthcare professionals)
  12. 18. 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 behaviors