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10 - Data Infrastructure
Terms in this set (80)
ABC Coding Solutions
A joint venture of the Foundation for Integrative Healthcare and Alternative Link. It provides more than 4,500 codes to describe complementary and alternative medicine and nursing services.
A set of rules to be processed by a computer program that involves repetition of a finite number of steps.
Also called data warehouse. This is an organized collection of data that supports statistical analysis.
The massive amount of data available to study, where all components of the EHR are required to be used by all users starting at one time.
Online analytical processing (OLAP).
Forms used to recording somewhat more standardized data (i.e. medical history checklists).
An organized structure for arranging objects, such as clinical terms or phrases, that aids in their definition, mapping, and use.
In information systems, software instructions that direct computers to perform a specified action.
In healthcare, an alphanumeric representation of the terms in a clinical classification or vocabulary.
Under HIPAA, any set of codes used to encode data elements, such as tables of terms, medical concepts, medical diagnostic codes, or medical procedure codes. Includes both the codes and their descriptions.
In computer programming, the process of writing software using a specific computer language to encode instructions.
In healthcare, the process of assigning numeric or alphanumeric representations to clinical documentation.
In a computer form or template, an area in which to record any non-structured data. They're often used to further explain data that have been entered into structured data fields.
Continuity of Care Record (CCR)
A data set maintained by ASTM International, an international standards development organization. It identifies the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering ore or more healthcare encounters.
A predefined set of terms and their meanings that may be used in structured data entry or natural language processing to represent expressions.
Standardized performance measures developed to improve the safety and quality of healthcare. Core measures are used by the Joint Commission's ORYX initiative, CMS quality reporting program for hospitals, and others.
Customer relationship management (CRM)
Helps healthcare providers manage physician credentialing and recruitment, referrals, clinical trials, and other information management tasks that require building and manipulating large contact databases.
The dates, #s, images, symbols, letters and words that represent basic facts and observations about people, processes, measurements, and conditions.
The structure that must support the ability of IT to create the knowledge continuum.
Database management system (DBMS)
Computer software that enables the user to create, modify, delete, and view the data in a database.
A database in which there are redundant data in order to optimize analytical performance.
A descriptive list of the names, definitions, and attributes of data elements to be collected in an information system or database. The purpose of a data dictionary is to standardize definitions and ensure consistent use.
Data Elements for Emergency Department Systems (DEEDS)
A data set designed to support the uniform collection of information in hospital-based emergency departments.
Data entry aid
A software feature that helps users select the desired data to be input (i.e. drop down menu, copy and paste).
The data needed to operate an enterprise, and how they are defined (vocabulary), structured and processed (architecture), and quality ensured.
The process of identifying relationships between two distinct data models.
A well-organized, user-centered, searchable database system that usually draws information from a data warehouse to meet the specific needs of users.
The process of determining the users' information needs and identifying relationships among the data.
In a relational database, it is the process of organizing data to minimize redundancy.
Another type of administrative metadata that refers to where data originated and where data may have moved between databases.
Data Quality Management Model
A graphic of the data quality management domains as they relate to the characteristics of data integrity and examples of each characteristic within each domain.
An open-structure database that is not dedicated to the software of any particular vendor or data supplier, in which data from diverse sources are stored so that an integrated, multidisciplinary view of the data can be achieved. Also referred to as clinical data repository when related specifically to healthcare data.
A list of recommended data elements with uniform definitions where the data are relevant for a particular use.
A database that is optimized for analytical query and report processing using data from multiple databases. Also called a clinical data repository when related specifically to healthcare data.
Discrete reportable transcription (DRT)
Enables tagging elements in a document transcribed into an XML format so they can be placed into structured data collection templates.
Executive decision support
A system that analyzes a large volume of aggregated data and provides trending information, used in healthcare to support strategic planning and management of the healthcare organization.
General Equivalence Mappings (GEMS)
A program created to facilitate the translation between ICD-9-CM and ICD-10-CM/PCS.
Granular (or Granularity)
The relative degree of detail, specificity, or size of components; a more detailed level of specificity.
In healthcare, granularity is often used to describe the specificity with which a diagnosis is made or how much detail is included in the workflow and process being mapped.
Healthcare Effectiveness Data and Information Set (HEDIS)
A set of performance measures developed by the National Commission for Quality Assurance (NCQA) that are designed to provide purchasers and consumers of healthcare with the information they need to compare the performance of managed care plans.
Data collected by dashboards and other aids that are used to monitor quality, cost, and standards for the exchange, management, and integration of electronic health information.
Processing of data that affords humans their intelligence; exploratory thinking that aids learning, discovery, understanding, or problem solving, through experimentation, trial and error, applying initiative judgment, or other techniques.
Data that have been deliberately selected, processed, and organized to be useful; data that have been combined to produce value.
Internal Classification of Functioning, Disability, and Health (ICF)
A health and health-related classification system maintained by the World Health Organization (WHO) that report body functions and structures, activities and participation, and environmental factors.
International Health Terminology Standards Development Organization (IHTSDO)
The organization that owns the intellectual property rights to SNOMED CT.
Institute for Safe Medication Practices (ISMP)
A non-profit organization devoted to medication error prevention and safe medication use through providing education and newsletters and its voluntary Medication Error Reporting Program (MERP) to learn about errors occurring, understand their causes, and share "lessons learned" to help prevent future errors.
A management strategy that promotes an integrated and collaborative approach to the process of information asset creation, capture, organization, access, and use.
1. The vocabulary used in a language or a subject area or by a particular speaker or group of speakers.
2. A collection of words or terms and their meanings for a particular domain.
Logical Observations Identifiers Names and Codes (LOINC)
A database protocol developed by the Regenstrief Institute for Health Care aimed at standardizing laboratory and other data observed about a patient, such as vital signs or symptoms, outcomes management, and research.
A command that a user can create and retrieve later that produces a specific set of terms, phrases, or sentences. In EHRs, macros are sometimes called smart text or dot phrases.
A proprietary medical vocabulary developed by Medicomp Systems. It includes more than 250,000 terms for symptoms, history, physical examination, tests, diagnoses, and therapies.
Medical Dictionary for Regulatory Activities (MedDRA)
A vocabulary that has been developed within the regulatory environment as a pragmatic, clinically validated medical terminology with an emphasis on ease-of-use data entry, retrieval, analysis, and display, with a suitable balance between sensitivity and specificity.
Descriptive data that characterize other data to create a clearer understanding of their meaning and to achieve greater reliability and quality of information. With respect to E-Discovery laws, metadata includes not only attributes of data but other data associated with its use, such as the identity of the person or device that recorded the temperature, the date and time the temperature was recorded, the last access date and time, and even information about whether the metadata itself had been changed, such as the date and who gave approval to change temperature from being a required data element to one that is optional.
National Drug Codes (NDC)
Codes that serve as product identifiers for human drugs, currently limited to prescription drugs and a few selected over-the-counter products.
National Quality Forum (NQF)
A private, not-for-profit membership organization created to develop and implement a nationwide strategy to improve the measurement and reporting of healthcare quality.
Natural language processing (NLP)
A technology that converts human language (structured or unstructured) into data that can be translated then manipulated by computer systems. It is a branch of artificial intelligence.
A defined system for naming. A disease nomenclature is a listing of the proper name for each disease entity with its specific code number.
Online analytical processing (OLAP)
A methodology that supports complex analysis on a large set of data from multiple sources retained in either a multidimensional or relational database.
Online transaction processing (OLTP)
A methodology that supports day-to-day entry of data and immediate retrieval of data from a relational database.
A common vocabulary organized by meaning, allowing for an understanding of the structure of descriptive information that facilitates a specific topic or domain.
Optical character recognition (OCR)
A method of encoding text from analog paper into bit-mapped images and translating the images into a form that is computer readable.
ORYX (ORYX initiative)
The Joint Commission's initiative that supports the integration of outcomes data and other performance measurement data into the accreditation process.
In healthcare, a detailed plan of care for a specific medical condition based on investigative studies.
In a computer network, a rule or procedure used to address and ensure delivery of data.
A collection of healthcare information related to a specific disease, condition, or procedure that makes the information readily available for analysis and comparison.
Refers to functions that can be performed on a panel of patients simultaneously, rather than functions typically performed in an EHR, which relate to only one patient at a time.
A clinical drug nomenclature developed by the FDA, the Department of Veteran Affairs, and HL7 to provide standards names for clinical drugs and administered dose forms that links to many of the drug vocabularies commonly used in pharmacy management and drug interaction software, including those of First Databank, Micromedex, MediSpan, Gold Standard and Multum.
The meaning of a word or term. It is sometimes referred to as comparable meaning, usually achieved through a standard vocabulary.
Systematized Nomenclature of Medicine - Clinical Terms. A computer processable clinical vocabulary that in 2011 included more than 311,000 clinical concepts and over 1.3 million relationships to represent virtually all healthcare processes. It was originally developed by the College of American Pathologists and now managed by the International Health Terminology Standards Development Organization (IHTSDO), based in Denmark, it is designed to index, store, retrieve, and aggregate clinical data in a standardized manner.
Standard order set
A set of instructions for a specific diagnosis, developed by a team of physicians and following evidence-based guidance, intended to increase physician efficiency, enhance documentation, and improve the quality of care.
The study of the patterns of formation of sentences and phrases from words and the rules for the formation of grammatical sentences in a language.
The principles of a classification system, such as data classification, and the study of the general principles of scientific classification.
A set of terms representing the system of concepts of a particular subject field.
A clinical terminology provides the proper use of clinical words as names or symbols.
Any operation performed on a database, such as entering of an order for a patient, retrieving vital signs of a patient, or sending a claim for healthcare services.
Under HIPAA, transactions refer specifically to financial and administrative transactions that occur between a provider and a payer, sometimes with the support of a healthcare clearinghouse, such as sending a claim and verifying eligibility for benefits.
A database that enables data to be entered, retrieved, updated, modified, trended, and deleted by the user.
Unified Medical Language System (UMLS)
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. It includes concepts and terms from many different source vocabularies. UMLS integrates and distributes key terminology, classification and coding standards, and associated resources to promote creation of more effective and interoperable biomedical information systems and services, including electronic health records.
Uniform Hospital Discharge Data Set (UHDDS)
A core set of data elements adopted by the US Department of Health and Human Services that are collected by hospitals on all discharges and all discharge abstract systems.
Unique Device Identification (UDI)
A unique identifier for medical devices required by the FDA that contributes to patient safety by helping to identify counterfeit products, improving the ability of staff to distinguish between devices that are similar in appearance but serve different functions, facilitating the recall process, tracking infection exposure and allergic reactions to devices, and improving studies on medical device effectiveness.
Universal Medical Device Nomenclature System (UMDNS)
A standard international nomenclature and computer coding system for medical devices, developed by ECRI.
1. An attribute associated with a characteristic.
2. The quality of outcomes for the level of spending.
3. A function that may assume any given value or set of values.
A characteristic or property or function that may take on different values.
All the terms that are recognized for communication within the domain.
Has the ability to use multiple vocabularies across different applications in an EHR system.
Knowledge, plus insight.
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