Health Information Management Ch.5: Clinical Terminologies Quiz
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Questions and Answers

Which of the following is a key characteristic of a code system?

  • It is an accumulation of terms and codes for exchanging or storing information (correct)
  • It is primarily used for primary data purposes and not for secondary data use
  • It is implemented in software applications but does not have a book of codes
  • It is used exclusively by clinicians to determine the presence of a mental disorder
  • What is the primary purpose of the International Classification of Diseases for Oncology, Third Edition (ICD-O-3)?

  • To facilitate the exchange or storage of general medical information
  • To report the topography and morphology of neoplasms to cancer registries (correct)
  • To standardize names and codes for laboratory and clinical variables
  • To classify mental disorders
  • What is the primary use of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)?

  • To facilitate the exchange or storage of general medical information
  • To classify cancers and report them to state and national registries
  • To standardize names and codes for laboratory and clinical variables
  • To provide a classification for mental disorders and guide clinical assessments and treatment planning (correct)
  • Who is primarily responsible for assigning codes in the Logical Observation Identifiers, Names, and Codes (LOINC) system?

    <p>No one assigns codes, as LOINC is implemented in software applications</p> Signup and view all the answers

    Which of the following coding or classification systems is used to report cancers to state and national registries?

    <p>ICD-O-3</p> Signup and view all the answers

    Which of the following coding or classification systems is primarily used for the exchange or storage of general medical information?

    <p>A code system, as defined in the text</p> Signup and view all the answers

    What is the definition of nomenclature?

    <p>A system of names that follows preestablished conventions</p> Signup and view all the answers

    Which term describes an accumulation of terms and codes for exchanging or storing information?

    <p>Code system</p> Signup and view all the answers

    What is the primary use of clinical terminologies and code systems?

    <p>For clinical decision support</p> Signup and view all the answers

    Who historically used medical content classification systems to identify causes of death?

    <p>Government agencies</p> Signup and view all the answers

    In the healthcare industry, what does EHR data primarily contain?

    <p>Granular clinical information</p> Signup and view all the answers

    What is the significance of detailed clinical content in data capture?

    <p>To support clinical decision making</p> Signup and view all the answers

    What is the primary purpose of clinical terminologies like SNOMED CT?

    <p>To standardize clinical phrases for documentation and information sharing</p> Signup and view all the answers

    What is the role of reference terminologies in clinical terminologies?

    <p>To provide common semantics and support meaning-based retrieval</p> Signup and view all the answers

    Which of the following is true about SNOMED CT identifiers?

    <p>They are unique integers that do not carry any semantic meaning</p> Signup and view all the answers

    What is the purpose of the 'Relationships' component in SNOMED CT?

    <p>To connect concepts and establish relationships between them</p> Signup and view all the answers

    Which of the following is an example of a clinical terminology?

    <p>SNOMED CT</p> Signup and view all the answers

    Who is primarily responsible for implementing and using clinical terminologies like SNOMED CT?

    <p>Software application developers</p> Signup and view all the answers

    Which of the following coding or classification systems is used to report cancers to state and national registries?

    <p>ICD-O-3</p> Signup and view all the answers

    What is the primary use of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)?

    <p>To classify and diagnose mental disorders</p> Signup and view all the answers

    Which term describes an accumulation of terms and codes for exchanging or storing information?

    <p>Code system</p> Signup and view all the answers

    What is the primary purpose of clinical terminologies like SNOMED CT?

    <p>To provide a structured way to represent clinical content and support data capture, retrieval, and exchange</p> Signup and view all the answers

    Which of the following is an example of a clinical terminology?

    <p>SNOMED CT</p> Signup and view all the answers

    In the healthcare industry, what does EHR data primarily contain?

    <p>Laboratory and clinical variables</p> Signup and view all the answers

    What is the primary purpose of clinical terminologies like SNOMED CT?

    <p>To provide a standardized way to represent clinical data for documentation and reporting</p> Signup and view all the answers

    Which of the following coding or classification systems is primarily used for the exchange or storage of general medical information?

    <p>LOINC</p> Signup and view all the answers

    What is the significance of detailed clinical content in data capture?

    <p>It enables semantic interoperability and health information exchange</p> Signup and view all the answers

    Who is primarily responsible for implementing and using clinical terminologies like SNOMED CT?

    <p>Software application developers</p> Signup and view all the answers

    What is the primary use of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)?

    <p>To provide a standardized system for the classification of mental disorders</p> Signup and view all the answers

    In the healthcare industry, what does EHR data primarily contain?

    <p>Coded data from clinical terminologies like SNOMED CT</p> Signup and view all the answers

    Which data set primarily contains detailed clinical content?

    <p>EHR data</p> Signup and view all the answers

    What is the primary purpose of using aggregate data from classifications and code systems?

    <p>Billing and payment</p> Signup and view all the answers

    Which type of standardized system is used to encode clinical data in healthcare?

    <p>Clinical terminology</p> Signup and view all the answers

    What characteristic distinguishes a classification from a terminology?

    <p>Classifications organize terms mono-hierarchically</p> Signup and view all the answers

    Which group historically used medical classification systems to identify causes of death?

    <p>Public health agencies</p> Signup and view all the answers

    What defines a code system according to the definitions provided?

    <p>An accumulation of terms and codes</p> Signup and view all the answers

    Study Notes

    • ICD-O-3 is a classification used by tumor registries to report the topography and morphology of neoplasms, providing greater detail than ICD-10.
    • DSM-5 is a classification for mental disorders used in clinical assessments, treatment plans, and communication between healthcare providers.
    • LOINC is a system for identifying health measurements and observations, implemented in software applications, standardizing names and codes for laboratory and clinical variables.
    • Clinical terminologies, classifications, and code systems are essential in healthcare for capturing data at a granular level for primary (clinical decision support) and secondary (billing and payment) uses.
    • SNOMED CT is a clinical terminology used for documentation and reporting, providing a granular level of clinical data capture, supporting interoperability, and standardizing clinical phrases and information exchange.

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    Related Documents

    HHS 503 Ch.5 PDF

    Description

    Test your knowledge on clinical terminologies, classifications, and code systems as defined in Chapter 5 of 'Health Information Management Technology: An Applied Approach, Sixth Edition'. Explore key terms such as vocabulary, nomenclature, classification, code, and code set.

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