Abbreviated injury scale (AIS)-ANSWER A series of numbers are assigned on a trauma
registry, which denote the nature and severity of injury by body system.
abstracting - ANSWER 1. The process of extracting information from a document to
produce a concise summary of a patient's disease, treatment, and outcome 2. The
process by which elements of data are extracted from a source document or database
and recorded into an automated system
Accession number - ANSWER A number assigned to each case as it is entered in a
cancer registry
Accession registry - ANSWER A list of cases in a cancer registry in the order in which
they were entered
Activities of daily living (ADLs) - ANSWER The basic activities of self-care, including
bathing, grooming, ambulating, toileting, and eating
Agency for healthcare research and quality (AHRQ) - ANSWER The branch of the US
Public Health Service that supports general health research and distributes research
findings and treatment guidelines with the objective of enhancing the quality,
appropriateness, and effectiveness of health care services
Aggregate data - ANSWER Data retrieved from individual health records and
aggregated into de-identified information about groups of patients that can be
compared and analyzed
Auto dialing system - ANSWER A system whereby calls are automatically made and
patients reminded of their appointments
,Case definition - ANSWER The determination of what cases should be included in a
registry
Case finding - ANSWER The process of identifying patients who have been seen or
treated in a health facility for the particular disease or condition of interest to the
registry
Claim - ANSWER An itemized statement of healthcare services and their costs provided
by a hospital, physican office, or other healthcare provider; submitted for
reimbursement to the healthcare insurance plan by either the insured party or the
provider
Clinical trial - ANSWER A controlled research study involving human subjects that is
designed to evaluate prospectively the safety and effectiveness of new drugs, tests,
devices, or interventions
Collaborative stage data set - ANSWER A new standardized neoplasm-staging system
developed by the American Joint Commission on Cancer
Computer virus - ANSWER a software program that attacks computer systems and
sometimes damages or destroys files
Credentialing - ANSWER The process of reviewing and verifying the qualifications of
physicians and other licensed independent practitioners, for medical staff membership
to provide patient care services
Data confidentiality - ANSWER The degree to which personal health information is
maintained as private
Data dictionary - ANSWER A descriptive definition of the data elements to be collected
within an information system or database whose purpose is to assure consistency of
terminology
, Data security - ANSWER The process of keeping data, both in transit and at rest, safe
from unauthorized access, alteration or destruction
Database - ANSWER An organized collection of data, text, references, or pictures in a
standardized format, usually stored in a computer system for a variety of applications
Deidentification - ANSWER The process in which users of secondary data will need to
remove identifying data so that data can be used without violating the patient's privacy
Demographic data - ANSWER Information used to identify a person, such as name,
address, sex, age and other data that link to a specific individual
Disease index - ANSWER An alphabetical list of the patients' diseases and conditions
sorted according to the code numbers of the classification in use
Disease registry ANSWER A central collection of data used to improve the quality of
care and measure outcomes of a given aspect of healthcare delivery
Edit ANSWER A condition that must be met before a computer system will accept data
Encryption - ANSWER The process of transforming text into an unintelligible string of
characters that can be transmitted via communications media with a high degree of
security and then decrypted when it reaches a secure destination
Facility based registry - ANSWER A registry that includes only cases from a particular
type of healthcare facility, such as a hospital or clinic
Food and drug administration (FDA) - ANSWER The federal agency responsible for
controlling the sale and use of pharmaceuticals, biological products, medical devices,
food, cosmetics, and products that emit radiation, including the licensing of medications
for human use
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