Classification Systems
Standardizes laboratory data
What is LOINC?
AIS is a data element recorded in this type of registry.
What is TRAUMA?
This healthcare database is made up of acute-care hospitals and skilled nursing facility claims data for all Medicare claims.
What is MEDPAR?
Describes where the covered entity has disclosed patient information for the past six years outside of treatment, payment, and healthcare operations.
What is ACCOUNTING OF DISCLOSURES?
What is DISCLOSURE?
Classifies diagnoses
What is ICD-10-CM?
The patient health record is this type of data ______.
What is PRIMARY DATA?
A formal language used to retrieve information stored in relational databases.
What is SQL?
Individually identifiable health information held or transmitted by a covered entity or business associate
What is PHI?
This rule requires organizations to implement policies and procedures to safeguard the facility and equipment from unauthorized access, tampering, and theft.
What is the SECURITY RULE?
Handbook used in behavioral health to guide the diagnosis of mental health disorders
What is DSM-5?
All children will be entered into this registry at birth and thus will continue to be monitored by the registry in their geographic area.
What is IMMUNIZATION REGISTRY?
In entity relationship modeling, this shape describes the attribute or characteristic of an entity.
What is a CIRCLE?
This act was originally established to address fraud and abuse, health insurance continuity and standards for electronic claims.
What is the HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) OF 1996?
A chronological record of electronic health record system activity
What is AUDIT LOG?
Clinical reference terminology to capture data for problem lists and patient assessments at the point of care
What is SNOMED CT?
You need to retrieve information on a particular physician in your facility. Specifically, you need to know how many cases he saw during the month of May. The information needed would be found in the ______.
What is PHYSICIAN INDEX?
A set of descriptions or definitions of data items in a data model for reference for systems users. Crucial piece of ensuring data quality through the use of an IS.
What is DATA DICTIONARY?
This act strengthens the privacy and security of patient health information, modifies the Breach Notification Rule, strengthens privacy protections for genetic information, makes business associates of HIPAA-covered entities liable for compliance.
What is HITECH-HIPAA OMNIBUS PRIVACY ACT?
This document, required by the Privacy Rule, informs patients how a healthcare organization may use and share a patient's health information and how patients can exercise their health privacy rights.
What is NOTICE OF PRIVACY PRACTICES (NPP)?
This system is useful for functions such as billing and monitoring resource utilization.
What is CLASSIFICATION SYSTEM?
Researchers studying the efficacy of treatment methods would most likely use this type of data _______.
What is SECONDARY DATA?
You want to check to see if a physician applying for medical staff privileges has had privileges denied at any other facility. You would check the _____.
What is NATIONAL PRACTITIONER DATA BANK?
The length of time a covered entity has to provide notification of a data breach to the secretary of the Department of Health and Human Services after a data breach of more than 500 impacted.
What is within 60 DAYS OF DATE OF DISCOVERY?
This type of safeguard requires automatic log-off and unique use identification to protect access and control of ePHI.
What is TECHNICAL SAFEGUARD?