Reference no: EM133393392
1. Janice has been given the responsibility of creating and managing the data dictionary for the laboratory IS that is being implemented. There are a number of existing ISs that have their own data dictionaries. The data from the laboratory IS will be part of a clinical data repository. She decided that she needs to start from scratch to make the data dictionary the best it can be. She is reviewing the data dictionaries from the other ISs used at the healthcare organization but she does not always use the same terminology and format that are used in the other ISs.
1. Are there any issues in this case? If so, identify and briefly discuss them.
2. Do you agree with Janice's decision to start from scratch to design the data dictionary? Justify your choice.
2. Lewis-Beck Medical Center is a 650-bed acute care hospital in north Florida. In response to the COVID-19 pandemic, it is developing a database or registry of all inpatients and outpatients who have come to the healthcare organization for treatment. Much like cancer registries, the COVID- 19 registry will attempt to track patients for the rest of their lives. It collects data about their hospital admission: length of stay, level of care (general medical or ICU), medications, radiology and lab resources, testing status, attending physicians/hospitalists, discharge status, etc. In addition, if patients were treated on an outpatient basis, either through the Emergency Department or through the COVID-19 clinic, encounter data (like the inpatient data) is collected. Not only will this database be used to develop after action plans and to evaluate hospital functioning, but also to collect data on any residual or sequela diagnoses that patients may develop due to their exposure to COVID-19.
1. Identify the ICD-10-CM codes for COVID-19. Identify the required character length of the field and field type necessary for the diagnosis codes to be in the database.
2. Identify the differences between the inpatient database and the outpatient database.
3. Identify as many fields as possible that should be in the registry to capture data about the patient, their treatment, and follow-up care.