Intro Health Information Technology: Ch. 5 Key Terms

Ch 6

vocabulary

a list of collection of clinical words or phrases with their meanings

nomenclature

a recognized system of terms that follows pre-established naming conventions

classification

a clinical vocabulary, terminology, or nomenclature that lists words or phrases with their meanings

code system

an accumulation of terms and codes for exchanging or storing information

code set

any set of codes used to encode data elements, such as tables of terms, medical concepts, medical diagnostic or procedure codes, and includes the descriptors of the codes

clinical terminologies

Clinical terminologies are sets of standardized terms and their synonyms that record patient findings, circumstances, events, and interventions with sufficient detail to support clinical care, decision support, outcomes research, and quality improvement

granular level

data consisting of small components or details at the lowest level

aggregate data

Aggregate data is data extracted from individual health records and may be combined to form deidentified information about groups of patients that can be compared and analyzed