A document that expresses patient's wishes for care when they cannot speak for themselves.

The code set used to report why the patient requires the care of a healthcare professional.

A number or character with no specific definition or meaning.

The data has no errors, no typos, no misinterpretations; also known as validity

Also known as a clinical repository, this is a single database that connects multiple databases which can use a single query and reporting function

This acknowledgement, signed by the patient, is required by HIPAA's Priavcy Rule

The code set used to report what the physician did to or for the patient.

A number or character with a specific definition and meaning.

The data is available to those who need it when it is needed

A set of single definitions for each data entry or field that exists in a data base

The patient's description of signs and symptoms, length of awareness, pain levels, and previous episodes.

The code set used to report what procedures were provided by the hospital to an inpatient.

The use of information to produce improvement or outcome.

The data includes all the required details; also known as comprehensiveness

A list of data elements that are included in a specific database

Services that are designed to repair or correct a malfunction or dysfunction within the body

The code set used to report DMEPOS

Documentation states the patient's blood pressure is 165/123 is an example.

The data is reliable, credible, and trustworthy.

The method of isolating information from a particular database to identify patterns in large data sets to predict outcomes

Documentation of lifestyle behaviors that may impact a patient's health, such as smoking or alcohol consumption.

The code set used to report dental procedures, owned and maintained by the American Dental Association.

Documentation states that the physician ordered the application of a cast, after viewing the x-ray of the patient's ulna is an example.

The data is up-to-date, current

Using current and historical data to learn from patterns and trends to support decision-making at both the patient and business level.