Please see attachmentHealth Data Content and Structure HITT 1301

Assignment 1:

Watch the video “99 Differentials”

Identify the medical content mentioned in the video, determine which clinical terminologies, classifications, and code system would be used to capture the content; and describe their findings.

Turn in your typed one (1) page assignment in a word document, Times New Roman Times in a font size of 12.

Assignment 2:

1. If the data use were to allow different providers the ability to send and receive medical data in an understandable and usable manner, would a clinical terminology, classification or code system be necessary? Why?
1. SNOMED CT and CPT are both clinical terminologies, how is their content similar? Different
1. Which of the codes systems are for primary data collection? Which are for secondary collection? Why

Turn in your typed one (1) page assignment in a word document, Times New Roman Times in a font size of 12.


Health Information Management Technology,

An Applied Approach

Nanette Sayles, Leslie Gordon

Copyright ©2020 by the American Health Information Management Association. All rights reserved.

Except as permitted under the Copyright Act of 1976, no part of this publication may be reproduced,

stored in a retrieval system, or transmitted, in any form or by any means, electronic, photocopying,

recording, or otherwise, without the prior written permission of AHIMA, 233 North Michigan Avenue,

21st Floor, Chicago, Illinois 60601-5809 (

ISBN: 978-1-58426-720-1

AHIMA Product No.: AB103118

Key Terms



Clinical terminology

Code set

Code system

Common Clinical Data Set (CCDS)


Data set

Derived classification


Extension codes

Fully specified name (FSN)


Granular level

Health information exchange (HIE)

International Classification of Diseases 11th Revision for Mortality and Morbidity Statistics (ICD-11-MMS)

International Classification of Functioning, Disability, and Health (ICF)




Preferred term (PT)

Reference terminology

RxNorm concept unique identifier (RXCUI)

Semantic interoperability

SNOMED CT identifier (SCTID)

Stem codes

Unified Medical Language System (UMLS)


Clinical Terminologies, Classifications, and Code Systems

Health information management (HIM) professionals play a crucial role in capturing and organizing clinical data. With the adoption of electronic health records (EHRs), organizing clinical data may involve several labels. For example, the Office of the National Coordinator for Health Information Technology (ONC) uses vocabulary (a list of collection of clinical words or phrases with their meanings), terminology, or code set to describe standards to support interoperability (ONC 2018a). Vocabulary is a list or collection of clinical words orHITT 1253 Legal & Ethical Aspects of Health Information

Power Point Project Due November 26, 2022


No more than 25 slides

No less than 20 slides will be accepted

Use smart art or some type of graphics program

You may use sound in your power point presentations


Develop a power point presentation on the role of advance directives in treatment and end-of-life healthcare decisions.

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