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Health Information Management Review

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Term
Definition
Limiting Collection of PI   show
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show a database of all clients registered  
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Canada Health Infoway   show
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show a field in its own right.  
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show a general term used to describe electronic health information  
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show a legal health record in digital format. It contains the client's health information collected by one or a group of providers in one location. It is a subset of the electronic health record. (EHR)  
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show a person, persons, or organization who has the responsibility for safekeeping and controlling personal health information in connection with the powers and duties performed.  
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show a small security device that can be added to a computer for access purposes. It displays a randomly generated access code that changes every few seconds  
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show a system for keeping track of paper health records taken from their normal location  
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show a total medical office system, including both hardware and software, with the capability of replacing all components of a paper chart (health record) electronically.  
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decentralized   show
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electronic health record (EHR)   show
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health record   show
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show any information pertaining to someones physical or mental health, condition, or infirmity, whether given orally or recorded in any manner, that is created or received directly or indirectly by a health professional or health organization  
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show any surgical procedure will generate a report  
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show as long as a client is alive and has the potential to seek treatment, a health record remains active.  
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show client has specifically asked the doctor to keep confidential  
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show combination of alphabetical or numeric with colour  
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show consent must be obtained in order to collect the information  
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show designate one location in which to house all records  
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provision   show
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show each client is assigned a unique identifier  
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show each organization must have a process in place to handle complaints with respect to the way personal information is collected, used or disclosed, or the manner in which the organization complies with the legislation.  
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show electronic chart  
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show growth charts, antenatal records, diabetic flow sheets, etc  
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show includes information that may be considered factual or subjective  
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show information about policies relating to the management of personal information must be readily available to clients  
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accuracy   show
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show keep together with most current on top  
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physical assessment   show
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show normally used for records that are pre-numbered  
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show occurs each time a client has an encounter with a health-care provider  
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alphabetical   show
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maintenance   show
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pChart   show
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accountability   show
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cumulative patient profile (CPP)   show
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show questionnaire that the client is asked to fill out on first visit  
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numeric   show
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show (of file) review and reorganize to remove outdated information that is no longer actively needed to provide care to the client  
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show segments a number into component parts  
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list of allergies   show
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creation   show
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safeguards   show
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show to remove a file from active status and store it in a secondary location or on a secondary medium  
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unlawful access   show
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individual access   show
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limiting use, disclosure & retention   show
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identifying purposes   show
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