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RHIA Exam > Chapter 6 - Data Management > Flashcards

Chapter 6 - Data Management Flashcards

1
Q

Abbreviated Injury Scale (AIS)

A

An automatically based, consensus-derived global severity scoring system that classifies each injury by region according to its relative importance on a 6-point ordinal scale (1=minor and 6=maximal). AIS is the basis for the Injury Severity Score (ISS) calculation of the multiply injured patient.

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2
Q

Abstracting

A

1.The process of extracting information from a document to create a brief summary of a patients illness, treatment, and outcome.
2.The process of extracting elements of data from a source document or database and entering them into an automated system.

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3
Q

Accession registry

A

A list of cases in a cancer registry in the order in which they were entered.

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4
Q

Accession number

A

A number assigned to each case as it is entered in a cancer registry.

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5
Q

Agency for Healthcare Research and Quality (AHRQ)

A

The branch of the US Public Health Service that supports general health research and distributes research findings and treatment guidelines with the goal of improving the quality, appropriateness, and effectiveness of healthcare services.

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6
Q

Aggregate data

A

Data extracted from individual health records and combined to form de-identified information about groups of patients that can be compared and analyzed.

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7
Q

Attributes

A

Data elements within an entity that become the column or field names when the entity relationship diagram is implemented as a relational database. 2.Properties or characteristics of concepts, used in SNOMED CT to characterize and define concepts.

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8
Q

Cancer staging

A

The process of determining the size and extent of spread of the tumor throughout the body.

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9
Q

Cardinality

A

The maximum number of occurrences of each entity that occurrences of other can link to.

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10
Q

Case definition

A

A method of determining criteria for cases that should be included in a registry.

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11
Q

Case finding

A

A method of identifying patients who have been seen or treated in a healthcare facility for the particular disease or condition of interest to the registry.

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12
Q

Clinical trial

A

The final stages of a long and careful research process that tests new types of medical care to see if they are safe 2. Experimental study In which an intervention or treatment is given to one group in a clinical setting and the outcomes compared with a control group that did not have the intervention or treatment or that had a different intervention or treatment.

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13
Q

Collaborative Stage Data Set

A

A new standardized neoplasm-staging system developed by the American Joint Commission on Cancer.

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14
Q

Data dictionary

A

A descriptive list of the names, definitions, and attributes of data elements to be collected in an information system or database whose purpose is to standardize definitions and ensure consistent use.

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15
Q

Data modeling

A

The process of determining the users information needs and identifying relationships among the data.

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16
Q

Database management system (DBMS)

A

Software tools used to store, analyze, modify, and access data.

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17
Q

Disease index

A

A listing in diagnose code number order for patients discharged from the facility during a particular time period.

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18
Q

Entity relationship diagram (ERD)

A

A specific type of data modeling used in conceptual data modeling and the logical level modeling of relational databases.

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19
Q

Entity

A

A class of objects that exist in the real world and have related properties.

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20
Q

Facility-based registry

A

A registry that includes only cases from a particular type of healthcare facility, such as hospital or clinic.

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21
Q

Health services research

A

Research conducted on the subject of healthcare delivery that examines organizational structures and systems as well as the effectiveness and efficiency of healthcare services.

22
Q

Healthcare Cost and Utilization Project (HCUP)

A

A family of databases and related software tools and products developed through a Federal-State-Industry partnership and sponsored by AHRQ. HCUP databases are derived from administrative data and contain encounter-level, clinical and nonclinical information including all-listed diagnoses and procedures, discharge status, patient demographics, and charges for all patients, regardless of payer (such as Medicare, Medicaid, private insurance, uninsured), beginning in 1988.

23
Q

Healthcare Integrity and Protection Data Bank (HIPDB)

A

Developed in response to HIPAA mandate of the collection of information on healthcare fraud and abuse because there was no central place to obtain this information.

24
Q

Index

A

An organized (usually alphabetical) list of specific data that serves to guide, indicate, or otherwise facilitate reference data.

25
Q

Injury Severity Score (ISS)

A

An overall severity measurement maintained in the trauma registry and calculated from the abbreviated injury scores for the three most severe injuries of each patient.

26
Q

Master patient index (MPI)

A

A patient-identifying directory referencing all patients related to an organization and which also serves as a link to the patient record or information, facilitates patient identification, and assists in maintaining a longitudinal patient record from birth to death.

27
Q

Medical Literature, Analysis, and Retrieval System Online (MED-LINE)

A

MEDLINE is the US National Library of Medicine’s (NLM) premier bibliographic database that contains over 19 million references to journal articles in life sciences with a concentration on biomedicine.

28
Q

Medicare Provider Analysis and Review (MEDPAR)

A

File made up of acute-care hospital and skilled nursing facility (SNF) claims data for all Medicare claims.

29
Q

National Center for Health Statistics (NCHS)

A

The federal agency responsible for collecting and disseminating information on health services utilization and the health status of the population in the United States; developed the clinical modification to the International Classification of Disease, Tenth Revision (ICD-10) and is responsible for updating the diagnosis portion of the ICD-10-CM.

30
Q

National Health Care Survey

A

A national public health survey that contains data abstracted manually from a sample of acute case hospitals and discharged inpatient records or obtained from state or other discharge database.

31
Q

National Practitioner Data Bank (NPDB)

A

A confidential information clearinghouse created by Congress with the primary goals of improving healthcare quality, protecting the public, and reducing healthcare fraud and abuse in the United States. The NPDB is primarily and alert or flagging system intended to facilitate comprehensive review of the professional credentials of healthcare practitioners, healthcare entities, providers, and supplies.

32
Q

NoSQL

A

Not only SQL (Structured query language) model used in database management systems; it differs from the relational model in that it does not provide a table -based representation but uses either a document or graph-oriented model.

33
Q

Normalization

A

1.A formal process applied to relational database design to determine which variables should be grouped in a table in order to reduce date redundancy 2. Conversion of various representational forms to standard expressions so those with the same meaning will be recognized as synonymous by computer software in a data search.

34
Q

Operation index

A

A list of the operations and surgical procedures performed in a healthcare facility, which is sequenced according to the code numbers of the classifications system in use.

35
Q

Patient-identifiable data

A

Personal information that can be linked to a specific patient, such as age, gender, date of birth, and address.

36
Q

Physician index

A

A list of patients and their physician usually arranged according to the physician code numbers assigned by the healthcare facility.

37
Q

Population-based registry

A

A type of registry that included information from more than one facility in a specific geopolitical area, such as state or region.

38
Q

Primary data source

A

Source that contains information about a patient documented by the professionals who provided care or services to that patient (namely, the health record).

39
Q

Protocol

A

In healthcare, a detailed plan of care for a specific medical condition-based on investigative studies; in medical research, a rule or procedure to be followed in a clinical trial; in a computer network, a rule or procedure used to address and ensure delivery of data.

40
Q

Public health

A

An area of healthcare that deals with the health of popularities in geopolitical areas, such as states and counties.

41
Q

Registry

A

A collection of care information related to a specific disease, condition, or procedure that makes health record information available for analysis and comparison.

42
Q

Relational database

A

A type of database that stores data in predefined tables made up of rows and columns.

43
Q

Relationships

A

A type of connection between two terms.

44
Q

Schema mapping

A

Converting entity relationship diagrams into tables using rules such as determining table structuring based on the cardinality of the relationship.

45
Q

Secondary data source

A

Data derived from the primary patient record, such as an index or a database.

46
Q

Staging system

A

A method used in cancer registries to identify specific and separate different stages or aspects of the disease.

47
Q

Structured Query Language (SQL)

A

A fourth-generation computer language that includes both DDL and DML components and is used to create and manipulate relational databases.

48
Q

Traumatic injury

A

A wound or another injury caused by an external physical force such as an automobile accident, a shooting, a stabbing, or a fall.

49
Q

Unified Medical Language System (UMLS)

A

A program initiated by the National Library of Medicine to build an intelligent, automated system that can understand biomedical concepts, words, and expressions and their interrelationships; includes concepts and terms from many different source vocabularies.

50
Q

Vital Statistics

A

Data related to births, deaths, marriages, and fetal deaths.

RHIA Exam (27 decks)

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