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Electronic health records (EHRs) that use structured data elements are documenting patient information using controlled vocabulary rather than narrative text. The historic lack of structured data and standardization in the healthcare industry today causes problems when sharing EHR content between providers.What is the uniform hospital discharge data set?
TYPES OF DATA SETS Uniform Hospital Discharge Data Set (UHDDS) The purpose is to list and define a set of common, uniform data elements. The data elements are collected from the health records of every hospital inpatient and later abstracted from the health record and included in national databases.What is the uhdds definition of other diagnoses?
Now you ask what is considered a secondary diagnosis. The Uniform Hospital Discharge Data Set (UHDDS) definition of “other diagnoses,” or secondary diagnoses, describes those conditions that coexist at the time of admission, or develop subsequently, and that affect the patient care for this current episode of care.