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HIM Reverse Defs

Purple MOD

QuestionAnswer
Health record Any document relating to a health-care client.
eHealth A general term used to describe electronic health info
Lab Sheet Keep together with most current on top
Terminal digit Segments a number into component parts
Lock boxes Client has specifically asked the doctor to keep confidential
Personal information Info may be factual or subjective
Fob A small security device
History (Interview) sheet Questionnaire filled out on clients first visit
Archive Remove from active and store
Creation The initial retrieval of information
Encounter record Occurs each time a client sees a health-care provider
Maintenance Organizing records through some kind of filing system
EMR A legal document in digital format
CPP Cumulative view of history and current health status
Purge Remove outdated info
MPI A database of all clients registered
Disposition As long as client is alive, a health record remains active
Safeguards Measures taken to protect information
Health information Any info pertaining to someone's health
Creation The initial retrieval information
Provision Distribution of and access to info is strictly controlled
Out guiding system Keeps track of who has a chart and where it is
Colour coding A combination of alphabetical and numeric with colour
Centralized Designated one location in which to house all records
Consecutive Normally used for records that are pre-numbered
Numeric Requires an index; indirect access system
HIM A field in its own right
Decentralized Allows part of the record to reside outside
Accountability PIO who is ultimately responsible for compliance
Alphabetical Oldest and most straightforward; direct access system
Openness Info about policies must be readily available to clients
Created by: Demitreia
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