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HIT 218- ch. 14

Abdelhak, chapter 14 definitions

abstracting a process by which a set of predetermined data is obtained from the patient record and related resources, selecting specificc data items from medical records for clinical and admin. decision making, has a wide range of uses.
accessioned when patients are determined eligible and added to a registry.
attributes an attribute is a data element that describes the entity, represented as a column in a table
bioterrorism terrorism using germ warfare, an intentional human release of naturally occuring or human modified toxin or biological agent.
case a person with a given disease or condition that is under study.
case eligibility all of the organization's pateints diagnosed and/or treated for active diseases on or after the reference date or start of the registry are eligible for inclusion
case finding the method by which all of the eligible cases to be included in the registry are identified, accessioned into the registry, and abstracted
clinical case definition a list of signs and symotoms that establish a clinical diagnosis
clinical decision support systems that provide diagnostic investigation tools and clincial guideline advice to patient care providers. Provides computerized advice re: drug doses, routes, and frequencies, alergy checks, drug-lab value checks and drug drug interaction checks
comorbidity a condition that is an addition to a primary condition and affects course of treatment of a condition or length of stay
core measure a set of standardized metrics developed and used by the JC to assess the qulity of HCOs
data dictionary serves as a central repository for all information about the database and functions as a catalog for identifying the nature of all data in a system, provides standard definitions for data elements and data structure
data element the atomic level of information, described as a single quesiton that demands a singular defined response
data warehouse receive clinical data from a transactions systemsuch as a pharmacy system and combine then w/ other organizational data from admin. and financial systems
differentation a term used for variation from normal tissue
entities represents a higher level than the data element, refers to a subject of info. that may be a thing, concept or process
epidemiologic case defintion sjjjj
etiology the study of the causes of disease
field a physical term that refers to the place in a computer system in which a data element might reside,
follow-up used by cancer registries to determine the cancer patient's status to ensure contined medical surveillance to determine outcomes of the treatment and monitor the health status of the population under investigation
grading variation from normal tissue, used in the description of tumors
incidence the number of new cases of disease
logical data model represents the structure of the relationship of data elements and entities within an info. system, allows for elegance in system design so that he system is adaptable to the changing info. needs of the enterprise.
major birth defects those that affect survival, require substantial medical care, or result in marked physiological or psychological impairment.
metadata data about data,it defines the structure that will be used to define all of the characteristics about data so that different people looking at characteristics of a data element would all know the data to mean the same thing and how it is to be used.
morphology cell structure and form
outcome refers to an indicator of the results of a process, it is related to the content and delivery of health care
passive case term to describe reporting systems that rely on reports submitted to the registry by hospitals, clinics, other facilities, supplemented w/ data from vital statistics
pay for performance payment system initiated by some health plans that financially rewards providers who achive specific quality or patient safety goals
population based registry registry that collects data for a defined geographic area, there are 3 types in a cancer registry; incidence only, cancer control and research
primary data the info. contained in the actual patient record
record is a row within the table, contains the data elements within fields that will provide sifficient data to identify a unique instane of the entity
reference data the date the registry began accessioning cases
secondary data the info. that is generated from the patient record
stage in refenece to cancer, the extent of the spread of disease
surveillance the collection, collation, analysis and dissemination of data
table the physical representation of te entity, it is the container that has the data elements that describe many instances of the entity
topography site or location of a neoplasm
value/coding the value or coding for a data element represents a more specified way that values may be returned to the data element to question
Created by: singeanna