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Chapter 3 Sayles

Horizontales
uses the codes assigned to determine the diagnostic related group or other grouping
results when the patient has two or more health record numbers issued
unstructured narrative data that's the result of a person typing data into an information system
a patient is erroneously assigned another person's health record number
assists physicians and other users when making decisions regarding medications, diagnosis, and such based information entered into the EHR
a clarification made to healthcare documentation after the original document has been signed and should be dated timed and signed
the linking of patient name, health record number, document type, and other identifying information to the scanned document
review of the health record to determine if there are any missing reports, forms, or signatures
provides general direction about the design of the form
Verticales
uses EHR data to assign the codes
Raw facts and figures
when a patient has more than one health record number at different locations in an enterprise
process of disclosing patient identifiable information from the health record to another party
a database on specific diseases and procedures
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
an ongoing manner while the patient is still in the healthcare facility
assigns the diagnosis and procedure codes
primary purpose of the health record
data that has been turned into something meaningful
additional information provided in the health record and is dated the day it is written