Appendment

Provision of integrity service requires the calculation of Integrity Checksum Value (ICV) and its appendment to the data.

Many commenters strongly encouraged the Secretary to adopt “appendment” rather than “amendment and correction” procedures. They argued that the term “correction” implies a deletion of information and that the proposed rule would have allowed covered entities to remove portions of the record at their discretion. Commenters indicated that appendment rather than correction procedures will ensure the integrity of the medical record and allow subsequent health care providers access to the original information as well as the appended information.

The songs of the first section of the Rig Veda that offer approbations to Indra and Varuna are believed to have been composed by Parukshepa the son of a devadasi, whose name attains a special significance, since it suggests a steep departure from the then ensuing practice of appendment of only a patriarchal surname.