Health Information Management

activities administration admission agencies ambulatory ambulatory care American Hospital Association analysis and/or anesthesia appropriate assessment attending physician autopsy central processing unit chart classification clinical record Commission on Accreditation complete computerized condition copy Date developed diagnosis digits discharge summary disease documentation entry evaluation facility's federal FIGURE functions health care health care facility health care provider health information department Health Information Management health information practitioner health record home health hospice care hospital identify individual initial inpatient Joint Commission laboratory master patient index Medical Record Administrator medical staff Medicare ment mental health monitor needs newborn operation organization outpatient patient performed person personnel PHYSICAL THERAPY policies problems procedures professional progress notes quality assurance regulations reports resident respiratory therapy responsible Signature specific standards statistics storage surgery therapy tion treatment plan unit utilization review