Chapter 7 & 8 - Secondary Data Sources (skipped chapter 8)

Question 1

patient-identifiable data

Answer 1

data that identifies the patient (e.g. through name, address, date of birth, etc., in the health record)

Question 2

disease registry

Answer 2

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)

Question 3

accession number

Answer 3

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

Question 4

accession registry

Answer 4

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

Question 5

demographic information

Answer 5

information used to identify an individual, such as name, address, gender, age, and other information linked to a specific person

Question 6

facility-based registry

Answer 6

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

Question 7

incident

Answer 7

an occurrence in a medical facility that is inconsistent with accepted standards of care

Question 8

population-based registry

Answer 8

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

Question 9

trauma registry

Answer 9

Tracks patients with traumatic injuries from the initial trauma treatment to death

Question 10

birth defects registry

Answer 10

Collects information on newborns with birth defects

Question 11

diabetes registry

Answer 11

Collects cases of patients with diabetes to assist in managing care as well as for research

Question 12

implant registry

Answer 12

Tracks the performance of implants including complications, deaths, and defects resulting from implants, as well as implant longevity

Question 13

transplant registry

Answer 13

Maintains databases of cases of patients who need organ transplants

Question 14

immunization registry

Answer 14

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

Question 15

cancer registry

Answer 15

tracks the incidence (new cases) of cancer

Question 16

registry

Answer 16

a book or system for keeping an official list or record of items

Question 17

National Cancer Registrars Association (NCRA)

Answer 17

a not-for-profit association representing cancer registry professionals and Certified Tumor Registrar certificate holders

Question 18

Abbreviated Injury Scale (AIS)

Answer 18

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

Question 19

Injury Severity Score (ISS)

Answer 19

a score that attempts to standardize the severity of injuries sustained during a trauma

Question 20

Level I trauma center

Answer 20

Able to provide total care for every aspect of injury from prevention through rehabilitation

Question 21

Level II trauma center

Answer 21

Able to initiate definitive care for all injured patients

Question 22

Level III trauma center

Answer 22

Able to provide prompt assessment, resuscitation, surgery intensive care and stabilization of injured patients, and emergency operations

Question 23

Level IV trauma center

Answer 23

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

Question 24

Level V trauma center

Answer 24

Able to provide initial evaluation, stabilization, and diagnostic capabilities, and prepares patients for transfer to higher levels of care

Question 25

definitive care

Answer 25

comprehensive care for the full spectrum of injuries beyond the initial assessment and resuscitation phase

Question 26

comprehensive care

Answer 26

an approach that cares for the whole patient and all his or her needs, not just the medical and physical ones

Question 27

comprehensive (adjective)

Answer 27

(1) covering completely or broadly | (2) having or exhibiting wide mental grasp

Question 28

American Trauma Society (ATS)

Answer 28

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

Question 29

Type 1 diabetes

Answer 29

once known as juvenile diabetes or insulin-dependent diabetes, it is a chronic condition in which the pancreas produces little or no insulin

Question 30

Type 2 diabetes

Answer 30

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

Question 31

organ transplant process

Answer 31

(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

Question 32

cystic fibrosis

Answer 32

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.

Question 33

Medicare Provider Analysis and Review (MEDPAR)

Answer 33

a secondary data source containing the records of all Medicare patients, stripped of identifying details and available to people for research purposes

Question 34

public health

Answer 34

the area of healthcare dealing with the health of populations in geographic areas such as states or counties

Question 35

The Leapfrog Group

Answer 35

a nonprofit watchdog organization that serves as a voice for health care consumers and purchasers

Question 36

HealthGrades

Answer 36

a US company that provides information about physicians, hospitals and health care providers

Question 37

Hospital Compare

Answer 37

a consumer-oriented website that provides information on how well hospitals provide recommended care to their patients (www.medicare.gov/hospitalcompare)

Question 38

National Library of Medicine (NLM)

Answer 38

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

Question 39

Medical Literature, Analysis, and Retrieval System Online (MEDLINE)

Answer 39

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.

Question 40

bibliography

Answer 40

a list of the books referred to in a scholarly work, typically printed as an appendix

Question 41

appendix

Answer 41

(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

Question 42

longitudinal patient record

Answer 42

a single comprehensive patient record comprised of data from numerous data sources across the healthcare continuum

Question 43

morbidity

Answer 43

(1) the condition of suffering from a disease or medical condition (2) the rate of disease in a population

Question 44

reference terminology

Answer 44

a terminology designed to provide common semantics for different uses

Question 45

semantic interoperability

Answer 45

mutual understanding of the meaning of data exchanged between information systems

Question 46

semantics

Answer 46

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