Ahima Medical Record Components

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Fundamentals of the Legal Health Record and …

https://library.ahima.org/doc?oid=104008

An individual's record can consist of a facility's record, outpatient diagnostic test results or therapies, pharmacy records, physician records, other care providers' records, and the patient's own personal health record. Administrative and financial documents and data …

Health Information 101 | AHIMA

https://www.ahima.org/certification-careers/certifications-overview/career-tools/career-pages/health-information-101/

A health record includes information such as: a patient’s history, lab results, X-rays, clinical information, demographic information, and notes. A patient’s health …

Documentation and Data Improvement Fundamentals

https://bok.ahima.org/doc?oid=60174

The two most important aspects of patient medical record documentation are as follows: The attending physician's documentation is key throughout the patient's stay. In each …

Defining the Medical Record: Relationships of the Legal …

https://perspectives.ahima.org/page/defining-the-medical-record-relationships-of-the-legal-medical-record-the-designated-record-set-and-the-electronic-health-record

This group consisted of representation from 1) health information services (medical records); 2) the information medical director group; 3) the chief medical …

Defining the Personal Health Record - AHIMA

https://library.ahima.org/doc?oid=59377

Shellfish (shrimp, lobster) Soy Tree nuts (almond, walnut, hazel, Brazil, and cashews) Wheat Medications Anticonvulsants Aspirin Barbiturates Beta-blocker medications …

Selecting an Electronic Medical Record System for the …

https://library.ahima.org/doc?oid=73916

Also among those who recognize the value of the EHR to achieve the goals of quality, safety, and cost effectiveness, the American Health Information Management …

Practice Toolkit: Medical Record Completion - AHIMA

https://bok.ahima.org/doc?oid=60965

Practice Toolkit: Medical Record Completion Medical record completion compliance has always been a problem at Sherman Hospital, a medium-sized community hospital in …

Retention and Destruction of Health Information - AHIMA

https://library.ahima.org/PB/RetentionDestruction

Appendix C outlines AHIMA's recommendations for minimum record retention time periods in the absence of any federal, state, or accreditation requirements. …

Career Tools | AHIMA

https://www.ahima.org/certification-careers/certifications-overview/career-tools/

AHIMA members receive early access to job postings and priority listing in employer searches. Health Information 101 New to health information (HI)? Learn more about the industry, what HI professionals do, and hear …

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