Chapter 6: Vocabulary Flashcards
To help you learn the vocabulary associated with Data management
Bylaws
Written documents that provide details and information regarding the rules and regulations established by a healthcare organization to help support healthcare operations.
Clinical Documentation
Any manual or electronic notation (or recording) made by a physician or other healthcare clinician related to a patient’s medical condition or treatement.
Critical thinking
The process of analyzing, assessing, and reconstructing a situation to provide enhanced solutions and outcomes to a problem.
Data
A representation of basic facts and observation about people, processes, measurments, and conditions.
Database
A collection of data organized in such a way that its contents can be easily accessed, managed, reported, and updated.
Database Life Cycle
An important step in the proper execution, implementation, and management of databases within healthcare. (DBLC)
Data Dictionary
A listing of all the data elements within a specific system that defines each individual data element, standard input of the data element and specific input of the data element, and specific data length.
Data Element
Can be single or individual fact that represents the smallest unique subset of a larger database sometimes referred to as the raw facts and figures.
Data Governance
Enterprise authority that ensures control and accountability for enterprise data through the establishment of decision rights and data policies and standards that are implemented and monitored through a formal structure of assigned roles, responsibilities, and accountabilities.
Data Integrity
The assurance that the data entered into an electronic system or maintained on paper are only accessed and amended by individuals with the authority to do so.
Data Interchange Standards
Developed in order to support and create structure with data exchanges to sustain interoperabilility.
Data Management
Refers to defination and structure of data elements and the creation, storage, and transmission of data elements.
Data Mapping
A process that allowed for connections between two systems.
Data Mining
The processing of extracting from a database or data warehouse information stored in discrete, structured data format– that is, data that has a specific value
Data Sets
A recommended list of data elements that have defined and uniform definitioms that are relevant for a particular use or are specific to s type of healthcare industry.
Data Stewardship
Creates responsibility for data through principles and practices to ensure the knowledgeable ad appropriate use of data derived from indiciduals’ personal health information.
Data Warehouse
A single database that makes it possible to access data that exists in multiple databases through one single query and reporting interface.
Data Warehousing
The process of collecting the data from different data sources within an organization and storing it in a single database that can be used fro decision making.
Enterprise Information Management
Is the set of functions created by an organization to plan, organize, and coordinate the people, processes, technology, and content needed to manage information for the purposes of data quality, patient safety, and ease of use.
Index
A report or list from a database that provides guidance, indication, or other references to the data contained int he database.
Information
Is different that data as it refers to data elements that have been combined and then manipulated into something meaningful regarding a patient or a group of patients.
Information Assets
Refer to the information collected during day-to-day operations of a healthcare organization that has vakue within an organization.
Information Governance
Focuses on principles and oversight to manage the information that is produced from the different systems within an organization.
Interoperability
The capability of two or more information systems and software applications to communicate and exchange information.
Object-oriented Database
Designed to store different types of data including images, aduio files, documents, videos and data elements.(OODB)
Query
A communication tool for CDI staff to communicate with providers to obtain clinical clarification, provide a documentation alert, clarify documentation, or as additional questions regarding documentation.
Relational Database
Stores data in tables that are predefined and contain both rows and columns of information.
Source Data
The location from which the data is mapped or to where it is sent.
Standards Development Organization
Private or government agencies that are involved in the creation and implementation of healthcare standards. (SDOs)
Structured Data
Data that are able to be read and interpreted by a computer.
System Characterization
The process of creating an iventory of all systems that contain data, including documenting where the data are stored, what type of data are created or stored, how they are managed, with what hardware and software they interact with, and providing basic security measures for the systems.
Target Data
The location from which the data is mapped or to where it is sent.
Unstructured Data
Also known as free text, is data entered into the system with no format specified.
Use Case
Describes how the users will interact with the data map in a specific scenario.
