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HIM Reverse Defs
Purple MOD
| Question | Answer |
|---|---|
| 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| Purge | Remove outdated info |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 |