name • date of birth • sex • next of kin • phone number • addres
• insurance • organization • admission date • discharge date
• legal authenticator • authentication date • transcriptionis
• transcription date tests • allergies • medical history
emperature • blood pressure • intake forms • appointmen
etters • signed form • visit note claims • systolic blood pressure
• diastolic blood pressure • medication • diabetic indices
mmunizations • family history • alert • diagnosis • othe
providers • encounter history • do not resuscitate • physica
herapy • care category • facility and systems background
• ambulatory services • transfer in continuum of long
erm care • disability • discharge instructions • comment
• follow-up • diagnosis codes • laboratory results • EKG
reason for visit • symptoms • onset of symptoms • duration
of symptons • OTC treatment • dosage • route • quantity
requency • start date • pharmacy • source of medication lis
• pulse • body temperature • height • weight • BMI • head
circumference • crown-to-rump length • pulse oximetry
pathology result • assessment • disposition • treatment goal
• procedure • consultation report • sensitivity • severity
respiratory rate • estimated blood loss • risk assessment
APRIL 2015 | VOLUME 100 NUMBER 4 | AMERICAN COLLEGE OF SURGEONS
Bulletin
Big promise
and
big challenges
for
BIG
HEALTH
CARE DATA
