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Health Informatics Glossary
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Dashboard - Management
dashboards provide access to summary data on primary business
processes in a business. Typically a dashboard also enables drill
down access to the details that are the basis for the summary view.
See
Business Intelligence
Data Center - A
facility hosting network computer systems and other telecommunications
components. Sometimes called a server farm, data centers usually
include backup power systems, redundant communication circuits,
environmental controls and perimeter security services.
See
Cloud Computing,
NOC
Data Element - The
smallest named unit of information in a transaction under HIPAA
(45 CFR § 162.103). Data elements are simple or compound.
Each data element has a name, description, type, minimum, and
maximum length. See
HIPAA
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Data Repository - A
formally structured database environment, generally with strong
field level validation and terminology standards. A repository is
as formal as a data warehouse, generally lacks the onboard querying
capabilities of a data warehouse, and can be more agile and adaptive
to distributed data sources. See
Business Intelligence,
CDR,
Data Warehouse,
Database
Data Use Agreement - The
license agreement between a participant and a covered entity that
governs the use of Protected Health Information (PHI) that is part of
a Limited Data Set. See
Covered Entity,
Limited Data Set,
Protected Health Information
Data Validation - A
process by which incoming data must conform to a specific standard
(e.g., must be a date, or must be a number, etc.). Nonconformant
data is not allowed in fields governed by strict data validation.
Data Warehouse - A
purpose-built data repository, generally derived from production
databases. The extra steps necessary to normalize large data sets
for use as a data warehouse are intended to optimze rapid data
analysis. See
Business Intelligence,
CDR,
Data Repository,
Database
Database - Stored
data organized by a schema into individual fields linked together
into records. See
Business Intelligence,
CDR,
Data Repository,
Data Warehouse,
Schema
DBMS - Data Base
Management System
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DEA - The Drug
Enforcement Administration is the division of the United States
Department of Justice responsible for enforcing federal controlled
substances laws and regulations. Their jurisdiction intersects with
medicine in electronic prescribing services. See
e-Prescribing
Decedents -
Deceased individuals, who still retain the right to the privacy of
their protected health information (PHI) under HIPAA. Covered
entities may disclose PHI to funeral directors as needed, and to
coroners or medical examiners to identify a deceased person, to
determine the cause of death, and to perform other functions as
authorized by law.
Decision Support -
Computer tools or applications to augment clinical decision making
by providing evidence-based knowledge in the context of patient
specific data. Sometimes called Decision Support System (DSS) or
Clinical Decision Support (CDS). See
Expert System,
Guideline,
Inference Engine,
Protocol
Decryption -
Decoding a message that has been encoded.
DEEDS - Data Elements
for Emergency Department Systems.
De-identified Data -
De-identified data is intended to neither identify nor to provide a
reasonable basis to re-identify the source individual. However,
recent research has shown that some "de-identified" data sets can be
re-identified due to the abundance of new social networking data on
individuals. See
Re-Identified Data
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DHCS - The California
Department of Health Care
Services is the California agency that oversees Medi-Cal.
The mission of DHCS is to protect and promote the health
status of Californians through the financing and delivery of
individual health care services. DHCS is an operating division of
CHHS. See
CHHS
Dialup - Sometimes spelled dial-up,
a computer to computer connection which requires only modems and
telephone lines. Useful in rural and frontier regions whick lack
broadband access to the Internet. Broadband is too slow for video,
VOIP or other modern technologies.
See
Analog,
Broadband,
POTS,
VOIP
DICOM - Digital
Imaging and Communications in Medicine.
Digital - A digital signal is discrete in
time and amplitude, as opposed to an analog signal, which is continuous.
See
Analog,
DSL
Digital Certificate - A
digital document issued by a certificate authority that contains the
certificate holder's name, public key and expiration date. Public
key encryption methods require digital certificates.
See
Certificate Authority,
Encryption,
Public Key
Digital Divide - A
common phrase indicating the gap between a group or community with
access to digital technology (e.g., computers, video conferencing,
etc.) and others with less access (or no access) to the technology.
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Disambiguate - To
remove uncertainty from ambiguous data; specifically in health data to
assert that two values are identical. For example, linking the health
record of "Patient 1" at "Practice A" with the health record of
"Patient 6" at "Practice B" because they are the same person
"disambiguates" the patient identities. See
Algorithm,
MPI,
Sensitivity,
Specificity
Disclosure - The
release, transfer or provision of access to protected health
information (PHI). Disclosure applies to persons or organizations
who receive PHI from covered entities or from the covered entity's
Business Associate (BA)s. See
Business Associate,
Covered Entity and
PHI
Disease Management -
A coordinated and proactive approach to managing care and support for
patients with chronic illness (e.g., diabetes, asthma, HIV/AIDS, etc.).
See
CDS
Disease Registry -
A purpose built clinical data repository focused on patients
with chronic illness (e.g., diabetes, asthma, cancer, etc.).
DMH - The California
Department of Mental Health is
entrusted with leadership of the California mental health system. DMH
is an operating division of CHHS. See
CHHS
DMHC - The California
Department of Managed Health
Care is the California agency that oversees health care for the
20 million people who belong to managed health care plans. DHMC is
an operating division of the Business,
Transportation and Housing Agency.
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DMZ - In computer
security the "demilitarized zone" or DMZ is a physical or logical
subnetwork that contains and exposes an organization's external
services to a larger untrusted network, usually the Internet. The
purpose of a DMZ is to add an additional layer of security to an
organization's perimeter so that an external attacker only has
access to facilities or content in the DMZ, rather than to internal
network services. See
Router
DNS - The Domain Name
System is a hierarchical naming service that translates Internet
domain names (host names that are meaningful to humans) into binary
address strings associated with specific network address locations.
DoD - The United
States Department of Defense
is the Cabinet level agency, headquartered at the
Pentagon
in Virginia, that commands the U.S. Army, Navy, Air Force and
Marine Corps.
DOQ-IT - The Doctors
Office Quality Information Technology program was operated by
CMS. DOQ-IT ended in April 2009.
See
CMS
DRM - Digital Rights
Management, a generic term for access control technologies employed by
copyright holders to limit the use of digital content. Some DRM
technologies are controversial, and have led to sprawling legal and
court battles over alleged anti-competitive practices by copyright
holders. See
cc,
EFF,
Free Software,
Intellectual Property
DSL - Digital
telephony technology initially developed as "Digital Subscriber Loop"
was later marketed to consumers as "Digital Subscriber Line." By
segregating digital signals into separate bands on a single circuit,
DSL can provide both voice and data services on the same copper wire.
See
Broadband,
Dialup,
POTS,
WiMAX
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DSMO - Designated
Standards Maintenance Organizations are named by HHS to maintain
code sets and transaction standards.
See
HL7,
NCPDP
DSS See
Decision Support
DURSA - The Data Use and
Reciprocal Support Agreement is a production document for the NHIN in
development by ONC.
See
NHIN
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