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Experience from analyses of health documentation in inpatient facilities


Authors: J. Kárníková
Authors‘ workplace: Adastra, s. r. o.
Published in: Listy rev. Lék., 13, 2009, č. 2, s. 37-38

Overview

The paper describes experience gained by expertize and consultations in inpatient health facilities of acute health care. The content of health documentation was assessed regarding the correct reporting of provided care and the concordance of the content of health documentation with the care reported to health insurance companies.

Key words:
health documentation – legal directives – content of health documentation – coding diagnoses – coding procedures


Labels
Medical assessment Occupational medicine
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