Must know about Health Information Management

Our Discussion this week will focus on reviewing Domain 1: Data Content, Structure, and Standards, which corresponds to Course Objective 1

For this discussion choose at least 2 of the topics below to discuss.

• Primary purpose of health record and primary users-
• Secondary purposes of health record-
• Some deficiencies that can be found in a health record
• Data granularity,
• Data completeness,
• Data consistency,
• Data comprehensiveness,
• data currency,
• data relevancy
• Clinical Decision support systems- what is it? who uses it?
• Integrated health records- what are they?
• data vs information-
• Data sets- what are they? what is the purpose? who is most closely involved in development (hint: government agency)-
• UHDDS-
• UACDS
• MDS-
• OASIS-
• ORYX
• EMDS-
• CIO- who is it? what are they responsible for?
• EDMS
• Clinical Data Repository
• CPOE-
• Access controls
• client/server architecture
• Executive information systems
• X12N
• CCHIT
• Outguide folder
• Unit numbering system-
• NCQA- who are they? what do they do?
• MPI
• SOAP notes (name the parts and give an example of what each would include)
• SNOMED
• Terminal Digit Filing (provide a detailed example of the order)
• primary reason for the continuity of care record
• ICF coding
• ICD-O-3
• DSM-5
• HCPCS
• List the approaches used in PCS coding
• XML
• HL7
• The act that mandated development of standards for EHR
• ASTM
• Unique patient identifier

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