Across
- 4. assists physicians and other users when making decisions regarding medications, diagnosis, and such based information entered into the EHR
- 5. data that has been turned into something meaningful,
- 7. a database on specific diseases and procedures,
- 11. Assisted Coding, uses EHR data to assign the codes,
- 13. a clarification made to healthcare documentation after the original document has been signed and should be dated timed and signed,
- 15. primary purpose of the health record,
- 16. review of the health record to determine if there are any missing reports, forms, or signatures,
- 19. an ongoing manner while the patient is still in the healthcare facility,
- 20. raw facts and figures,
- 24. common system that scans the paper record and stores it digitally
- 26. assigns the diagnosis and procedure codes,
- 27. technology that converts human language into data that can be translated then manipulated by computer systems and used for speech recognition,
Down
- 1. results when the patient has two or more health record numbers issued,
- 2. links the patient's information at the different facilities,
- 3. the linking of patient name, health record number, document type, and other identifying information to the scanned document,
- 6. permanent record of all patients treated at a healthcare facility,
- 8. 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,
- 9. computer captures the diction and converts what is said directly into text no transcriptionist is needed,
- 10. monitoring the quality of documentation,
- 12. a patient is erroneously assigned another person's health record number,
- 14. provides general direction about the design of the form,
- 17. when a patient has more than one health record number at different locations in an enterprise,
- 18. uses the codes assigned to determine the diagnostic related group or other grouping,
- 21. additional information provided in the health record and is dated the day it is written,
- 22. reviewed after discharge from a healthcare facility,
- 23. process of disclosing patient identifiable information from the health record to another party,
- 25. unstructured narrative data that's the result of a person typing data into an information system,
