HIM Chapter 3

3. Data that have been extracted from individual health records and combined to form deidentified information about groups of patients that can be compared and analyzed.
5. Data that have been turned into something meaningful.
6. Organizations that need access to health records to accomplish their mission.
8. A patient is assigned another person's health record number.
12. A patient has more than one health record number at different locations within an enterprise or healthcare organization.
15. Records that the physician did not complete the health record in the time frame required by the medical staff rules and regulations.
16. A patient has two or more health record numbers issued.
17. Assigns the diagnosis and procedure codes.
19. Permanent record of all patients treated at a healthcare organization.

1. Raw facts and figures.
2. Healthcare enterprise has more than one healthcare organization (such as hospital and ambulatory clinic) and the patient is seen at two or more places.
4. Uses the codes assigned to determine the diagnostic-related group or another grouping.
5. Those who depend on the health record to complete their jobs.
7. Information, understanding, and experience that give individuals the power to make informed decisions.
9. Extracting data from a health record and entering it into an information system is known as.
10. Record that contains information relating to the physical or mental health or condition of an individual, as made by or on behalf of a health professional in connection with the care ascribed that individual.
11. Clarification made to healthcare documentation after the original document has been signed; it should be dated, timed, and signed.
13. This health record is completely available in paper media.
14. Additional information provided in the health record.
18. This health record is accessible online.