Download Week 5 HIM - CM

Week 5 HIM
1. Check your understanding
5.1
1. true
2. true
3. false
4. false
5. false
5.2
1. e
2. c
3. d
4. b
5. a
5.3
1. a rx norm
2. c. hcpcs
3. b loinc
4. a dental codes
5. c. ingredients
5.4
1. true
2. false skilled nursing not long term care
3. true
4. false
5. false
2. Define following KEY TERMS :

Classifications --system where related entities are organized together

Classification system— a classification system where entries are
arranged based on some hierarchical structure.

Clinical vocabulary-- terminologies or coding systems, are structured
list of terms which together with their definitions are designed to describe
unambiguously the care and treatment of patients.

Code systems—an accumulation of numeric or alphanumeric representations
or codes for exchanging or storing information

Coding—process of assigning numeric or alphanumeric representations to
clinical documentation.

Common Clinical Data Set-- means the following data expressed,
where indicated, according to the specified standard(s)

Granularity—detail is the goal, then clinical terminologies are the best option

ICF—international classification of functioning disability and health-states of
functioning

Data set—list of recommended data elements with inform definitions

Derived classification—one based on a reference classification such as icd
or icf by adopting the reference classification structure and categories and
providing additional detail or through rearrangement or aggregation of items
from one or =more reference classifications

FSN—fully specified name is the unique text assigned to a concept that
completely describes it

PT—Physical theraphy

RXCUI—rx norm concept unique identifier drug name and all its synonyms
represent a single concept

UMLS—unified medical language system centralized location of health and
biomedical terminologies and standards

SNOMED CT identifier—each concept is assigned a unique numeric and
machine readable identifier call this.

LOINC—universal code system for tests measurement and observations

CPT—provide a uniform language that allows for accurately descriptions of
medical, surgical and dx services

HCPCS-- The Healthcare Common Procedure Coding System is a set of
health care procedure codes based on the American Medical Association's
Current Procedural Terminology (CPT).

ENCOUNTER-- clinical encounter. Any physical or virtual contact between
a subject/patient and healthcare practitioner/researcher, during which an
assessment or clinical activity is performed

WHO-- The World Health Organization (WHO) is a specialized agency of the
United Nations that is concerned with international public health. It was
established on 7 April 1948, headquartered in Geneva, Switzerland.