Chapter 7 & 8 - Secondary Data Sources (skipped chapter 8) Flashcards
patient-identifiable data
data that identifies the patient (e.g. through name, address, date of birth, etc., in the health record)
disease registry
a collection of secondary data related to patients with a specific diagnosis, condition, or procedure (e.g. Alzheimer’s Prevention Registry, Colon Cancer Family Registry, National and State Cancer Registries, and Rare Disease Registry)
accession number
a number assigned to each case as it is entered in a cancer registry
accession registry
a list of cases in a cancer registry in the order in which they were entered
demographic information
information used to identify an individual, such as name, address, gender, age, and other information linked to a specific person
facility-based registry
a registry that includes only cases from a particular type of healthcare facility, such as a hospital or clinic
incident
an occurrence in a medical facility that is inconsistent with accepted standards of care
population-based registry
a type of registry that includes information from more than one facility in a specific geopolitical area, such as a state or region
trauma registry
Tracks patients with traumatic injuries from the initial trauma treatment to death
birth defects registry
Collects information on newborns with birth defects
diabetes registry
Collects cases of patients with diabetes to assist in managing care as well as for research
implant registry
Tracks the performance of implants including complications, deaths, and defects resulting from implants, as well as implant longevity
transplant registry
Maintains databases of cases of patients who need organ transplants
immunization registry
Collects information within a particular geographic area on children and their immunization status and maintains a central source of information for a particular child’s immunization history, even when the child has received immunizations from a variety of providers
cancer registry
tracks the incidence (new cases) of cancer
registry
a book or system for keeping an official list or record of items
National Cancer Registrars Association (NCRA)
a not-for-profit association representing cancer registry professionals and Certified Tumor Registrar certificate holders
Abbreviated Injury Scale (AIS)
an anatomical-based coding system created by the Association for the Advancement of Automotive Medicine to classify and describe the severity of injuries; the score describes three aspects of injury: type, location, and severity
Injury Severity Score (ISS)
a score that attempts to standardize the severity of injuries sustained during a trauma
Level I trauma center
Able to provide total care for every aspect of injury from prevention through rehabilitation
Level II trauma center
Able to initiate definitive care for all injured patients
Level III trauma center
Able to provide prompt assessment, resuscitation, surgery intensive care and stabilization of injured patients, and emergency operations
Level IV trauma center
Able to provide advanced trauma life support (ATLS) prior to transfer of patients to a higher-level trauma center; provides evaluation, stabilization, and diagnostic capabilities for injured patients
Level V trauma center
Able to provide initial evaluation, stabilization, and diagnostic capabilities, and prepares patients for transfer to higher levels of care
definitive care
comprehensive care for the full spectrum of injuries beyond the initial assessment and resuscitation phase
comprehensive care
an approach that cares for the whole patient and all his or her needs, not just the medical and physical ones
comprehensive (adjective)
(1) covering completely or broadly
(2) having or exhibiting wide mental grasp
American Trauma Society (ATS)
an organization that provides core and advanced workshops for trauma registrars and a certification examination for trauma registrars who meet its education and experience requirements
Type 1 diabetes
once known as juvenile diabetes or insulin-dependent diabetes, it is a chronic condition in which the pancreas produces little or no insulin
Type 2 diabetes
an impairment in the way the body regulates and uses sugar (glucose) as a fuel; it used to be known as adult-onset diabetes but children are getting it in increasing numbers
organ transplant process
(1) doctor identifies a patient needing an organ transplant
(2) doctor puts patient on a registry
(3) patient is approved for transplant
(4) doctor installs the organ
cystic fibrosis
An inherited life-threatening disorder that damages the lungs and digestive system. Cystic fibrosis affects the cells that produce mucus, sweat, and digestive juices. It causes these fluids to become thick and sticky. They then plug up tubes, ducts, and passageways. Symptoms vary and can include cough, repeated lung infections, inability to gain weight, and fatty stools.
Medicare Provider Analysis and Review (MEDPAR)
a secondary data source containing the records of all Medicare patients, stripped of identifying details and available to people for research purposes
public health
the area of healthcare dealing with the health of populations in geographic areas such as states or counties
The Leapfrog Group
a nonprofit watchdog organization that serves as a voice for health care consumers and purchasers
HealthGrades
a US company that provides information about physicians, hospitals and health care providers
Hospital Compare
a consumer-oriented website that provides information on how well hospitals provide recommended care to their patients (www.medicare.gov/hospitalcompare)
National Library of Medicine (NLM)
a biomedical library that maintains and makes available a vast amount of print collections and produces electronic information resources on a wide range of topics; they managed the MEDLINE and UMLS databases
Medical Literature, Analysis, and Retrieval System Online (MEDLINE)
a database of bibliographic listings for publications in the areas of medicine, dentistry, nursing, pharmacy, allied health, and veterinary medicine. HIM managers use MEDLINE to locate articles on HIM issues as well as articles on medical topics necessary to carry out quality improvement and medical research activities.
bibliography
a list of the books referred to in a scholarly work, typically printed as an appendix
appendix
(1) a tube-shaped sac attached to and opening into the lower end of the large intestine in humans and some other mammals
(2) a section or table of additional matter at the end of a book or document
longitudinal patient record
a single comprehensive patient record comprised of data from numerous data sources across the healthcare continuum
morbidity
(1) the condition of suffering from a disease or medical condition
(2) the rate of disease in a population
reference terminology
a terminology designed to provide common semantics for different uses
semantic interoperability
mutual understanding of the meaning of data exchanged between information systems
semantics
the branch of linguistics and logic concerned with meaning. There are a number of branches and subbranches of semantics, including formal semantics, which studies the logical aspects of meaning, such as sense, reference, implication, and logical form, lexical semantics, which studies word meanings and word relations, and conceptual semantics, which studies the cognitive structure of meaning
