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THE HEALTH INFORMATION MANAGEMENT DEPARTMENT
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admission Admit ANESTHESIA ASSESSMENT assigned attending physician authorization axilla axillary birth certificate CANCER STAGING carcinoma chart clinic cm in greatest coding color completed computer system computerized condition confidentiality consent consultation copy correct deficiency slip delinquent records diagnosis dictation system digital dictation Disch discharge summary document ensure Face Sheet Figure file folder function greatest dimension health information management hospital identify information management department INITIALS inpatient JCAHO KEY IDEA master patient index Medical Center medical record clerk medical record number medical staff ment Metastasis monitoring MPI cards Nursing care plans operative report outguide outpatient PATIENT NAME pectoralis major muscle performed physician incomplete area Physician Orders Post-op procedure received registration release of information request responsible retrieval right breast sections SENTINEL LYMPH NODE Signature signed specify subpoena surgery surgical therapy tion transcriptionists tumor usually