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complete this assignment not sure if i did this correctlyInstructions: Use the terms listed below to fill in the blanks. Thoroughly complete and submit the Clinical Terminology worksheet. where does the word Electronically go? Fill in the Blanks The Electronic health record captures the detail of diagnostic studies, history and physical examinations, visit notes, ancillary department information, nursing notes, vital signs, and outcome measures. (3) Coding clinical data is the process of assigning a numeric and alphanumeric character to clinical documentation. (1) Nonenclatures are used to identify clinical data within the EHR. (1) Clinical Terminology is a set of terms that represent systems and concepts in the medical field. (2) Classifications are systems that organize related entities together. (1) An accumulation of numeric and alphanumeric codes for exchanging and storing information is a code system. (2) International Classification of Disease, Tenth Edition, Clinical Modification (ICD-10 CM) and SNOMED CT are examples of a code system. (7) Nomenclatures are appropriate for collection of data in a Standardized Manner. (2) A nomenclature that allows for data at a granular level is needed for primary data uses such as clinical decision support. (3) Nomenclatures that _aggregate_ data work for _secondary data use such as identification of diagnosis and procedures for the purpose of billing and payment. (2) Classifications are key to statistics_ data use because they _______data for health care_______, design payment systems and determine the correct _______________ for health care services. (4) Term Bank: Aggregate Classifications Clinical decision Clinical terminologies Coding Code system Electronic Health Record (EHR) Electronically Granular International Classification of Disease, Tenth Edition, Clinical Modification (ICD-10 CM) Standardized Manner Nomenclatures Payment Providers Secondary

 
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