1. You are the HIM responsible for coding and abstracting services in your regional organization that includes acute care, long term care, and cancer care. Understanding the patient flow is an important consideration for your organization.

You have been notified by CIHI, that the "admit by ambulance" abstract field will be retired (made obsolete) in the next fiscal year. (think Winrecs)

1. List and briefly explain4 actions you would take as the HIM professional responsible for coding and abstracting services within your facility. In developing your plan, you should:
   • Consider who would you tell?
   • Why? - explain your reasoning.

1. Construct a method to track changes for 3 specific data elements that may change over time (i.e. data retired, added, changed). Who would be responsible for ensuring all CIHI and/or provincially mandated changes are made within your regional organization's systems?