Clinical Classifications and Terminologies
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Questions and Answers

What does the American Medical Association (AMA) primarily do?

  • Provides a standardized framework for documenting patient care
  • Establishes standards on materials
  • Distributes scientific information to its members (correct)
  • Catalogs medical devices
  • What is the purpose of the American Society for Testing and Materials (ASTM)?

    To establish standards on materials, products, systems, and services.

    What does BI-RADS stand for?

    Breast Imaging Reporting and Data System Atlas.

    What is the Clinical Care Classification (CCC)?

    <p>Two interrelated taxonomies for documenting patient care.</p> Signup and view all the answers

    What does Clinical Terminology refer to?

    <p>A set of standardized terms and their synonyms.</p> Signup and view all the answers

    What is the role of the College of American Pathologists (CAP)?

    <p>To advocate excellence in the practice of pathology.</p> Signup and view all the answers

    What is a Community of Practice (CoP)?

    <p>A community for those interested in clinical terminologies.</p> Signup and view all the answers

    What is a Concept in this context?

    <p>A unit of knowledge or thought created by a unique combination of characteristics.</p> Signup and view all the answers

    What does CHI stand for?

    <p>Consolidated Health Informatics.</p> Signup and view all the answers

    What does Current Dental Terminology (CDT) consist of?

    <p>A medical code set of dental procedures.</p> Signup and view all the answers

    What is Current Procedural Terminology (CPT)?

    <p>A code book published by the AMA for outpatient and ambulatory care coding.</p> Signup and view all the answers

    What does DICOM stand for?

    <p>Digital Imaging and Communications in Medicine.</p> Signup and view all the answers

    What is the Emergency Care Research Institute (ECRI) working on?

    <p>Mapping the Universal Medical Device Nomenclature with the FDA.</p> Signup and view all the answers

    What does the Environmental Protection Agency (EPA) Substance Registry System (SRS) involve?

    <p>Interoperability standards for chemicals.</p> Signup and view all the answers

    What is the function of the European Committee for Standardization (CEN)?

    <p>To facilitate business in Europe and develop European Standards.</p> Signup and view all the answers

    What does Extensibility mean?

    <p>The vocabulary can be extended by users or application developers.</p> Signup and view all the answers

    What is a Framework?

    <p>A supporting structure around which something can be built.</p> Signup and view all the answers

    What is the Global Medical Device Nomenclature (GMDN)?

    <p>A collection of internationally recognized terms for medical devices.</p> Signup and view all the answers

    What is Granularity in access control?

    <p>How finely you can control data visibility in databases.</p> Signup and view all the answers

    What is the Healthcare Common Procedure Coding System (HCPCS)?

    <p>A classification system identifying healthcare procedures.</p> Signup and view all the answers

    Study Notes

    Clinical Classifications and Terminologies

    • American Medical Association (AMA): National organization for physicians that disseminates scientific knowledge, informs on health legislation, and advocates for the medical profession at the federal level.

    • American Society for Testing and Materials (ASTM): A national body dedicated to creating standards for materials, products, systems, and services.

    • Breast Imaging Reporting and Data System Atlas (BI-RADS): A standardized framework for terminology and reporting in breast imaging, covering mammography, ultrasound, and MR assessments.

    • Clinical Care Classification (CCC): Comprises two taxonomies that standardize documentation for nursing diagnoses and interventions across various healthcare settings.

    • Clinical Terminology: Standardized terms and synonyms used to document patient findings and interventions, supporting care, decision making, research, and quality improvements.

    • College of American Pathologists (CAP): An organization promoting excellence in pathology and laboratory medicine for patients, pathologists, and the public.

    • Community of Practice (CoP): A network of individuals focused on exploring clinical terminologies and vocabularies.

    • Concept: Defined as a unit of knowledge or thought shaped by specific characteristics.

    • Consolidated Health Informatics (CHI): Initiative for adopting interoperability standards across federal health agencies.

    • Context: Descriptive text that contextualizes a concept or designation.

    • Current Dental Terminology (CDT): A dental procedure coding system, maintained by the American Dental Association (ADA), originally known as the Uniform Code on Dental Procedures and Nomenclatures until 1990.

    • Current Procedural Terminology (CPT): A coding system developed by the AMA for outpatient procedure coding, updated annually on January 1.

    • Digital Imaging and Communications in Medicine (DICOM): A standard for digital image formats and picture archiving communications systems.

    • Emergency Care Research Institute (ECRI): Collaborates with the FDA on a Universal Medical Device Nomenclature project aimed at standardizing practices.

    • Environmental Protection Agency (EPA) Substance Registry System (SRS): Establishes interoperability standards for identifying chemicals and substances regulated by the EPA.

    • European Committee for Standardization (CEN): Facilitates trade within Europe by developing European Standards and technical specifications.

    • Extensibility: The ability for vocabulary to be expanded by users or developers.

    • Framework: A foundational structure upon which systems or processes can be built.

    • Global Medical Device Nomenclature (GMDN): A set of internationally accepted terms for describing and categorizing medical devices.

    • Granularity: Refers to the precision of access control over who can view and manipulate data across various databases and fields.

    • Healthcare Common Procedure Coding System (HCPCS): Classification system that identifies healthcare procedures and equipment for smooth operational management.

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    Description

    This quiz covers essential clinical classifications and terminologies used in healthcare, such as those established by AMA, ASTM, and BI-RADS. Test your knowledge on standard terminologies that improve documentation and patient care across various medical fields. Perfect for students and professionals in health sciences.

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