Coding
Integrated health record - Correct answer-A system of health record organization in
which all the paper forms are arranged in strict chronological order and mixed with
forms created by different departments
The Joint Commission - Correct answer-an independent organization that accredits
healthcare organizations in the United States based on performance standards
Longitudinal health record - Correct answer-a single complete health record that
combines data from a variety of sources within a healthcare system
Source-oriented health record - Correct answer-a system of health record organization
where information is organized according to the patient care department that provided
the care
ICD-10-PCS - Correct answer-ICD-10-PCS is a system of medical classification used
for procedural coding. It is a US system that is used in hospital settings to report
inpatient procedures. ICD-10-PCS codes support data collection, payment and
electronic health records.
Diagnosis - Correct answer-identification of a disease by a licensed provider
Morbidity - Correct answer-Refers to ill health in an individual and the levels of ill health
in a population or group.
Mortality - Correct answer-the state of being subject to death
Comorbidity - Correct answer-a secondary condition that is present on admission and
causes an increase in length of stay (LOS)
Complication - Correct answer-a secondary condition that arises during hospitalization
and causes an increase in length of stay (LOS)
Principal diagnosis - Correct answer-that condition established after study, which is
found to be primarily responsible for admission of the patient to the hospital
What is a characteristic of ICD-6? - Correct answer-The first version of ICD used for
both death classification and disease indexing