| A | B |
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| Terminology | A collection of concepts represented by standardized terms accepted or agreed upon by a user group. |
| Standardized Term | A term accepted for consistent use by a specific user group or field. |
| Concept | A mental representation of an object or fact. |
| Domain | A specific area, subject, or scope of concepts. |
| Exhaustiveness | A requirement that a terminology contains a term for every concept within the domain. |
| Exclusiveness | A requirement that each assigned term relates to only one concept within the domain. |
| Nomenclature | A domain-specific collection of standardized terms used to name concepts. |
| Dictionary | A compilation of terms arranged alphabetically with supplementary details such as definitions and pronunciation. |
| Controlled Vocabulary | A vocabulary that requires the use of predefined, authorized terms selected by the designers of the vocabulary. |
| Authorized Term | A term approved for use within a controlled vocabulary or standard terminology. |
| Indexing | The process of assigning terms to documents or information so they can be organized and retrieved. |
| Standard Terminology | A consistent set of accepted terms used to support communication, data exchange, and analysis. |
| Data Interoperability | The ability of data to be exchanged and understood across different systems and settings. |
| Data Comparability | The ability to compare data reliably across systems, settings, or time periods. |
| Information Sharing | The exchange of health information between authorized people, organizations, or systems. |
| Data Standards | Established guidelines and conventions for collecting, storing, and exchanging health information. |
| Information Standards | Standards related to data and data models used to collect information from patients, providers, and organizations. |
| Technology Standards | Standards related to technology use, implementation, and promotion. |
| Process Standards | Standards related to the processes used to collect information. |
| Coding Standards | Information standards that provide guidelines and rules for assigning codes to health record elements. |
| Canadian Coding Standards | Coding standards developed by CIHI for ICD-10-CA and CCI submissions. |
| Canadian Institute for Health Information (CIHI) | An independent, not-for-profit organization that provides health information for decision-making, policy development, and system management. |
| CIHI Database | A database maintained by CIHI to collect and report Canadian health information. |
| Guidance | Direction provided by coding standards to support accurate code assignment. |
| Coding Exception | A specific situation identified in coding standards where a different coding rule or approach applies. |
| Coding Example | An example used in coding standards to show how a rule should be applied. |
| Episode of Care | A healthcare encounter or period of care that can be described and coded. |
| Clinical Documentation | Documentation created by healthcare providers to describe a patient’s condition, treatment, and care. |
| Insufficient Clinical Documentation | Documentation that lacks enough detail or specificity to support accurate coding or analysis. |
| Specificity | The level of detail needed to accurately describe a diagnosis, condition, treatment, or encounter. |
| Data Usability | The extent to which data can be used effectively for analysis, reporting, or decision-making. |
| Coding Error | An incorrect code assignment that can affect data quality and reporting. |
| Coded Data | Health information that has been converted into standardized codes. |
| Case Mix Group (CMG) | A category used by CIHI to group patient cases with similar clinical characteristics and resource use. |
| Resource Intensity Weight (RIW) | A numerical value assigned to a group that reflects expected resource use for typical cases. |
| Typical Case | A case that does not involve deaths, sign-outs, transfers, or other length-of-stay anomalies. |
| Patient Sign-Out | A situation where a patient leaves or is signed out, affecting whether a case is considered typical. |
| Length of Stay Anomaly | An unusual length of stay that affects case grouping or resource weighting. |
| Standards Development Organization | An organization that develops and promotes standards for data quality, interoperability, and information management. |
| Health Level Seven International (HL7) | A global organization that develops standards for exchanging, integrating, sharing, and retrieving electronic health information. |
| Interoperability Framework | A structure or set of rules that supports communication and data exchange between systems. |
| Protocol | A set of rules that supports consistent electronic communication or data exchange. |
| International Organization for Standardization (ISO) | An international standard-setting body that develops standards, including standards related to health data and information management. |
| International Health Terminology Standards Development Organization (IHTSDO) | The organization responsible for developing and maintaining SNOMED CT. |
| Health Data Capture | The process of collecting or entering health data into a system. |
| Data Exchange | The transfer or sharing of data between systems, organizations, or users. |
| Research Support | The use of standardized health data and terminology to support healthcare research. |
| Policy Development | The use of health information to inform healthcare policy decisions. |
| Health System Management | The use of health information to support planning, operations, and management of the healthcare system. |
| Pan-Canadian Database | A national database containing health data from across Canada. |
| Central Repository | A central location or system where data is stored and managed. |
| Acute Care Facility | A healthcare facility providing short-term treatment for serious or urgent health conditions. |
| Health Data Collection | The process of gathering health data from organizations, providers, and other sources. |
| Health Data Reporting | The process of analyzing and communicating health data for use by stakeholders. |
| Data Governance Standard | A standard that supports proper control, management, and protection of data. |
| Confidentiality | The responsibility to protect health information from unauthorized access or disclosure. |
