Exam 5: Health Data Content and Structures

It is your responsibility to establish processes for collecting and maintaining clinical data at a facility. What criteria would you consider to accomplish this task?

What are the main three groups that share responsibility for the health care organization's compliance with the requirements for collecting and maintaining clinical data. Briefly describe the responsibility of each group.

Match the terms with the best description. -progress notes are organized by the SOAP approach

Match the terms with the best description. -chart data follows a strict chronological order for organization

The data collected and maintained by health care providers and organizations concerning their patients generally fall into one of two categories: administrative data or