In healthcare, data sets serve two purposes. The first is to id data elements to be collected about each patient. The second is to:
provide uniform data definitions to aid standardization efforts across multiple hospita
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In healthcare, data sets serve two purposes. The first is to id data elements to be collected about each patient. The second is to:
provide uniform data definitions to aid standardization efforts across multiple hospitals.
A HIT is responsible for designing a data collection form to collect data on pts in an acute care hospital. The first resource to use
UACDS
A critical early step is designing an ehr is to develop a _____________ in which each of the data elements are designed
data dictionary
In long-term care, the resident's care plan is based on data collection in
UHDDS
Which of the following is NOT a characteristic of the common healthcare data sets such as UHDDS and UACDS
they provide a framework for data collection to which an individual facility can add data items.
What is the term that is used to mean ensuring that data are not altered during transmission across a network or during storage
Integrity
The primary purpose of a minimum data set in healthcare is to
mandate all data that must be contained in a health record
a notation for a diabetic patient reads "occasionally gets hungry, no insulin reactions. She says she is following her diet"
which part of a problem health record progress note would this be writted
Assessment
an audit of a hospitals health system shows that Dx codes are not being reported at the correct level of detail
This is a problem with data:
granularity
In which of the following examples does the gender of the patient constitute information rather than a data element
In a study comparing the incident of MIs in black males compared to white females.
A core data set is developed by ASTM to communicate a pts past and current health info as pt transitions from one care setting to another
Minimum Data Set
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