What are the specific problems or limitations impacting data capture, encoding, translation, transformation, auditability, decoding, or presentation processes?
> Confidentiality legislation; “universal” patient and provider identifiers or techniques to generate same; standardized chart format and component categories or capability to achieve same; electronic patient record; standardized data element fields and definitions; core data sets e.g., “the front sheet,” and the “universal” billing form; aggregation rules, coding and coding audit methodology, methodology to accurately follow and aggregate resource use; etc. (See “General Comment” section at the end of this statement.) Again, to assist the engagement of the response in this section to those that may be provided from a more technical (standards) perspective, the following additional narrative is offered: A standards focus on information flow is essential, tracking PMRI from the point of origin (typically the point of service) to the point of use, including record stewardship and key aspects of accountability, auditability, data integrity (accuracy, consistency, completeness, persistence
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