Term
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Definition
Healthcare
Common
Procedures
Coding
System |
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Term
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Definition
ELECTRONIC
DATA
INTERCHANGE |
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Term
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Definition
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Term
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Definition
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Term
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Definition
personal and medical information, such as his or her living situation, symptom (a change in health function experienced by a patient), symptom onset, personal and medical history, family history, and other relevant information. The patient’s personal information can be obtained verbally, in writing, or using a combination of both. |
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Term
What forms the foundation for the
medical record? |
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Definition
Demographic and personal information, reason for
admission, and usually some patient-supplied
information |
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Term
What is a healthcare worker? |
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Definition
A healthcare worker is a person who participates directly or indirectly in providing healthcare services to a patient. |
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Term
When are demographics collected? |
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Definition
| Except in extreme medical emergencies, patient information is collected and reviewed prior to patient examination and treatment. Even during emergencies, every attempt is made to obtain pertinent patient history and details of any specific injuries or ongoing medical problem from the patient, witnesses, and/or family members. This information can be a matter of life or death in providing appropriate treatment and medication. |
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Term
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Definition
dependent on the mind or on an individual’s perception for its existence.
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Term
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Definition
factual or not influenced by personal feelings or opinions. |
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