Terminology In Healthcare

“Together, terminologies, such as SNOMED-CT, and classification systems, such as ICD-10-CM and ICD-10-PCS, provide the common medical language necessary for interoperability and the effective sharing of clinical data.” (Bowmen, 2005) Using common medical terminology in the electronic medical records, common standard format, and would be beneficial for this system. Making the information interoperable would help the automated clinical summary system. SNOMED-CT uses a mapping system to convert the codes to the ICD-10 codes. Mapping is used because it provides links to terminologies. “National Library of Medicine mappings offer several rules, groups, mapping priorities, and recommendations to be considered during the mapping process. Mapping rules are stored in a machine-readable Augmented Backus-Naur Form (ABNF) that evaluates the existence of one or more SNOMED CT concept instances (comorbid conditions) and/or one

CYANOTIC: A patient who has cyanosis, or a slight bluish discoloration of the skin due to the presence of abnormal amounts of reduced hemoglobin in the blood

Coding systems are used in the inpatient and outpatient settings for the classification of patient morbidity and mortality information for statistical use. The World Health Organization (WHO) developed the Ninth Revision, International Classification of Diseases (ICD-9) in the 1970s to track mortality statistics across the world. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), is the adaptation the U.S. health system uses as a standard list of six-character alphanumeric codes to describe diagnoses. Globally utilizing a standardized system improves consistency in recording symptoms and diagnoses for payer claims reimbursement, as well as clinical research, and tracking purposes.

Health information technology (HIT) is revolutionizing the way we interact with health-related data. One example of this is the obvious rise in

NIH Public Access published an article about SNOMED CT 's RF2. SNOMED is complex and extensive computer information that allows common medical to be captured, shared, and aggregating health data. SNOMED was established in 2002 and was research up until 2010. During that time there were many problems that arise. Therefore, in 2010 the International Health Terminology Standards Development Organization (IHTSDO) that implemented a new format called RF2. At first glance, RF2 seems to be a cosmetic change; however, it holds great promise for the future because of its flexibility and to deal with a number of issues concerning the ontological underpinnings.

When I first enrolled in BMI 5300: Introduction to Biomedical Informatics class, I was very eager and excited to learn the role of biomedical informatics in healthcare organizations and the importance of data capture and analysis in improving public health. One of the major misconceptions I had was that this course would not cover wide range of factors influencing the biomedical informatics field. Much to my surprise, the course provided a comprehensive analysis of factors related to biomedical informatics, including but not limited to EHR systems, interfaces, Health Information Exchanges, Meaningful Use (MU) requirements, and controlled medical vocabularies such as Logical Observation Identifiers Names and

American Psychological Association (APA) states word choice: Make certain that every word means exactly what you intend it mean (2010). Clarity requires written documents to have organization that allows readers to place the information in context (Grand Canyon University (GCU), 2013).

Health Information Technology is a trend in health care that has gained widespread attention due to the benefits it offers in the intricate, ever-changing and demanding field of health care. The advancement and widespread usage of Electronic Health Record (EHR) systems is predominantly dependent on standardized clinical terminology in the respective systems to ensure leveled communication among all professionals. Systematized Nomenclature of Medicine – Clinical Terms (SNOMED CT) is one of many clinical terminologies currently in use for the purpose of documenting by healthcare professionals and specialists in Electronic Medical Records. The mapping of SNOMED CT has been validated for accuracy against multiple coding and diagnostic classification systems. A brief history of SNOMED CT and results of several of the mapping studies will be discussed in this paper.

In health care, patients’ lives are in the hands of the health care practitioners, health care organizations, insurance companies, and to some degree, even health care technology. The growth and future implications of evidence-based medicine (EBM) through improvement of technology in health care are important today, because health care practitioners and organizations want to ultimately decrease cost, improve quality of care, and increase access to health care (Glandon, Smaltz, & Slovensky, 2014, p. 28). One way to achieve these goals is through the implementation and improvement of EBM and interoperability which will enhance the efficiency of work production resulting in these positive outcomes. According to Glandon, Smaltz, and Slovensky (2014), EBM is an “information management and learning strategy that seeks to integrate clinical expertise with the best evidence available to make effective clinical decisions that will ultimately improve patient care,” (p. 6). “Interoperability is the ability of different information and communications technology systems and software applications to communicate, to exchange data accurately, effectively, and consistently, and to use information that has been exchanged,” (Iroju, Soriyan, Gambo, & Olaleke, 2013, para. 1). Without interoperability and EBM, fundamental data and information such as patient records cannot be easily shared across and within enterprises having a direct impact on the quality of care. It

The ontology created is known as Logical Observation Identifiers Names and Codes (LOINC). This coding system consists of names and codes for laboratory tests, patient measurements, evaluation instruments, document titles, diagnostic procedures and radiology exams (Benson, 2012; Hammond, Jaffe, Cimino, & Huff, 2014).

Discuss the importance of understanding medical terminology for medical administrators? • It allows medical administrators and all healthcare workers to communicate in one language. To protect a patient information • You will use it every day when you work in the healthcare field. • If you have to get your medical dictionary out every time you get asked to do something, you will be wasting valuable time. Nurses, doctors, and other health care professionals do not have time to waste, especially in an emergency situation. • One small mistake can make a big difference. You could give the wrong medication or just give the right medication the wrong way. It can be the difference between ordering

This stream of research eventually developed into a dedicated discipline, Artificial Intelligence in Medicine (AIM), with wide appeal and broad consensus for optimism. In 1970, Schwartz announced in the New England Journal of Medicine that clinical computing would likely be commonplace in the “not too distant future.” The use of computerized clinical information systems to support hospital operation as well as clinical activities started to flourish in the early 1990s. Besides the significant technological breakthroughs, including the availability of enterprise-level database management systems (DBMS) and health data standards such as ICD and HL7, new legislation and advocacy by federal funding agencies also played a key role. International Statistical Classification of Diseases: Standard diagnostic classification developed by the World Health Organization (WHO) for its member states to report mortality and morbidity statistics. In the United States, ICD-9-CM (ICD 9th Revision, Clinical Modification) is widely used to codify diagnostic data for administrative (such as billing) purposes. http://www.cdc.gov/nchs/datawh/ftpserv/ftpICD9/ftpICD9.htm. Health Level Seven (HL7) is an all-volunteer, not-for-profit organization. It oversees the development of international health data exchange standards. http://www.hl7.org. Financial investments to implement large-scale health IT systems were made by the Agency for

What is medical terminology? Medical terminology is a language that nurses and doctors uses in the medical field. Understand how the human body work it can be uses as a language that communicate within a hospital or clinic. Medical terminology is like a word that are formed and come together to make another word. It is somehow similar to piecing together a puzzle. A medical word would consist of an elements, prefixes, word roots and suffix. By combining these forms of different part of the word component you than create a medical term. Medical terminology can also be used as an abbreviation to make the working environment a faster steadily pace and easier to read and communicate through paperwork and other staff members.

SNOMED, the Systemized Nomenclature of Medicine is assembled into nineteen hierarchies. The vocabulary furthers future medical developments and supports evidence-based care (IHTSDO, 2016b). SNOMED CT usage is fundamental in the medical field because the patients, the clinicians, and the population all benefit from its usage. There is better communication if this ontology is employed within Electronic Health Records (EHRs) amongst all entities involved and information and support are provided in real time. According to (IHTSDO, 2016d), individuals benefit from this ontology because their record is always accurate and consistent information is documented during a

Having some background knowledge on medical terminology is crucial in the healthcare profession. Why you may ask? Well because it is a whole new separate language for the medical field. Healthcare professions need to learn this language to do their jobs correctly and professionally. In addition, medical terminology is key to be able to communicate with colleagues, bosses, and other health care staff in the facility. Therefore, proper pronunciation and spelling is important to treat and diagnose a patient correctly and for there not to be any misunderstandings. In addition, there are homographs and homophones terms in which being educated correctly in medical terminology comes in hand. Moreover, medical terminology makes it easier to communicate