ANSWERS9
consultation report - ANSWERS -documents opinions about the patients condition from the
perspective of a physician not previously involved in the patients care
data precision - ANSWERS -the extent to which data have the values they are expected to have
data applications - ANSWERS -the purposes for which data is collected
data comprehensiveness - ANSWERS -the extent to which healthcare data are complete; data
complete all required elements
data definition - ANSWERS -the specific meaning of a heathcare related data element
data collection - ANSWERS -the processes by which data are collected
data accuracy - ANSWERS -the process by which data are free of identifiable errors; data are
correct
data consistency - ANSWERS -the extent to which data are reliable; that the dates of birth and
all information is the same
data warehousing - ANSWERS -the processes and systems by which data are archived
, data accessiblity - ANSWERS -the extent to which healthcare data are obtainable; data is easy to
obtain
data currency - ANSWERS -the extent to which data are up to date; making sure that data is
input in record at time of occurence
data availability - ANSWERS -the extent to which healthcare data are accessible whenever and
whereever they are needed
data analysis - ANSWERS -the processes by which data are translated into information that can
be used for designated applications
data - ANSWERS -the dates, number, image, symbol, letter and words that represent basic facts
observations about people processes, measurements and conditions
confidentiality - ANSWERS -the expectation that the personal information shared by an
individual with a healthcare provider during the course of care will be used only for its intended
purpose
privacy - ANSWERS -the right of individuals to control access to their personal health
information
security - ANSWERS -the protection of privacy of individuals and the confidentality of health
records
problem oriented health record format - ANSWERS -a documentation approach in which the
physician defines each clinical problem individually four components, the database, the
problem list, initial plans and progress notes